Individual
GABRIEL UGWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25944 CONTINENTAL CIR, TAYLOR, MI 48180-3196
(313) 529-1494
Mailing address
25944 CONTINENTAL CIR, TAYLOR, MI 48180-3196
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703108815
MI
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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