Individual
BLESSING N. OKORONKWO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
29001 HARPER AVE, SAINT CLAIR SHORES, MI 48081-2711
(586) 778-0664
(586) 778-0396
Mailing address
29001 HARPER AVE, SAINT CLAIR SHORES, MI 48081-2711
(586) 778-0664
(586) 778-0396
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301084051
MI
207RN0300X
Nephrology Physician
Primary
4301084051
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700E017240
BCBSM GROUP NUMBER
MI
Enumeration date
05/23/2007
Last updated
08/23/2016
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