Individual
GEOFFREY S. MWAUNGULU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD, DETROIT, MI 48202
(313) 916-9106
(313) 916-1249
Mailing address
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD, DETROIT, MI 48202
(313) 916-9106
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
033325
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GM033325
CHAMPUS-CHAMPUS
—
Enumeration date
03/12/2007
Last updated
07/08/2007
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