Individual
CHIBUZO CASEY OHANAJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4201 SAINT ANTOINE ST # 9C, DETROIT, MI 48201-2153
(574) 520-3551
Mailing address
DETROIT MEDICAL CENTER GME OFFICE, 4201 SAINT ANTOINE ST # UHC-9C, DETROIT, MI 48201
(574) 520-3551
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
83175
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100262074
—
WI
Enumeration date
04/28/2020
Last updated
01/25/2024
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