Individual
MRS. UKAMAKA MADELEINE UDEGBUNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 ARKONA RD, MILAN, MI 48160-9706
(210) 568-1550
Mailing address
1800 CRESTVIEW DR, CANTON, MI 48188-2043
(248) 229-3987
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
4704262086
MI
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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