Individual
MR. INNOCENT N UBUNAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7100 ORCHARD CENTER DR, HOLLAND, OH 43528
(419) 866-2000
(419) 866-2010
Mailing address
7100 ORCHARD CENTER DR, HOLLAND, OH 43528
(419) 866-2000
(419) 866-2010
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
34008253
OH
2086S0129X
Vascular Surgery Physician
Primary
34008253
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2473783
—
OH
01
—
34008253
LICENSE
OH
Enumeration date
12/12/2006
Last updated
11/08/2012
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