Individual
DR. MODUPE TEMIDAYO AWONUGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.B.B.S
Contact information
Practice address
1215 E MICHIGAN AVE, SPARROW HOSPITAL - NEONATOLOGY, LANSING, MI 48912-1811
(517) 364-2188
(517) 364-3994
Mailing address
804 SERVICE RD, A201, EAST LANSING, MI 48824-7015
(517) 884-2976
(517) 432-3928
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
055407
GA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
4301089600
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720291339
—
MI
Enumeration date
05/08/2007
Last updated
07/12/2016
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