Individual
ALPHONSE A EKOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21331 KELLY RD, SUITE 120, EASTPOINTE, MI 48021-3265
(586) 585-9119
(586) 585-9947
Mailing address
21331 KELLY RD, SUITE 120, EASTPOINTE, MI 48021-3265
(586) 585-9119
(586) 585-9947
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301080987
MI
Other
Enumeration date
08/10/2005
Last updated
03/28/2022
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