Individual
PETER OKOYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
31400 TAMARACK, BLOOMFIELD HILLS, MI 48303
(248) 277-1821
Mailing address
31400 TAMARACK ST, WIXOM, MI 48393-2540
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703106118
MI
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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