Individual
MR. SAMUEL OLA OKUNAWO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6904 FAUST AVE, DETROIT, MI 48228-3495
(313) 982-7381
Mailing address
6904 FAUST AVE, DETROIT, MI 48228-3495
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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