Individual
MR. SORIE ALPHA KANU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
261 MACK AVE, DETROIT, MI 48201-2417
(313) 745-1203
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704290850
MI
Other
Enumeration date
01/09/2018
Last updated
07/21/2022
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