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Organization

PHYSICIANS VISTING HOME SERVICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHIDOZIE JOSHUA ONONUJU D.O. (OWNER)
(989) 752-0706
Entity
Organization

Contact information

Practice address
2811 DAVENPORT AVE, SAGINAW, MI 48602-3798
(989) 752-0706
(989) 752-0709
Mailing address
4232 WINTERWOOD LN, SAGINAW, MI 48603-8639
(989) 752-0706
(989) 752-0709

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080G312570
BLUE CROSS BLUE SHIELD
MI
05
4998596
MI
Enumeration date
02/01/2007
Last updated
04/25/2008
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