Individual
EMMANUEL NDUBUISI UWALAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2213 CHERRY ST, TOLEDO, OH 43608-2603
(248) 259-1082
Mailing address
1207 CORRAL LN, SOUTH LYON, MI 48178-5304
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.4704271630
MI
163W00000X
Registered Nurse
RN.485413
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA.0020694
OH
367500000X
Certified Registered Nurse Anesthetist
CRNA.239103449
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TBD
NO OTHER NUMBERS ISSUED
—
Enumeration date
05/04/2022
Last updated
01/11/2023
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