Organization
MID MICHIGAN FERTILITY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AWONIYI OLUMIDE AWONUGA M.D. (DIRECTOR)
(347) 254-5772
Entity
Organization
Contact information
Practice address
1322 E MICHIGAN AVE STE 301, LANSING, MI 48912-2109
(347) 254-5772
Mailing address
953 STROWBRIDGE DR, HOWELL, MI 48843-6623
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
4301089357
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2683 NI
—
NY
Enumeration date
04/29/2010
Last updated
04/29/2010
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