Individual
BLESSING IMADE ITUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
6071 W OUTER DR, DETROIT, MI 48235
(313) 966-3250
Mailing address
6071 W OUTER DR, DETROIT, MI 48235
(313) 966-3250
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/30/2025
Last updated
09/19/2025
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