Individual
DR. AWONIYI O AWONUGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
26400 W 12 MILE RD, STE 140, SOUTHFIELD, MI 48034-1753
(248) 352-8200
(248) 356-8255
Mailing address
1560 E MAPLE ROAD, SUITE 400-CREDENTIALING, TROY, MI 48083-1189
(248) 581-5970
(248) 581-5640
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
228734-1
NY
207V00000X
Obstetrics & Gynecology Physician
Primary
4301089357
MI
207VE0102X
Reproductive Endocrinology Physician
4301089357
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02440260
—
NY
Enumeration date
06/28/2005
Last updated
03/21/2016
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