Individual
PETER R NWOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
17331 MACK AVENUE, DETROIT, MI 48224-2250
(313) 473-8525
(313) 473-8521
Mailing address
PO BOX 806464, SAINT CLAIR SHORES, MI 48080-6464
(313) 473-8525
(313) 473-8521
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301082666
MI
208600000X
Surgery Physician
4301082666
MI
208D00000X
General Practice Physician
Primary
4301082666
MI
Other
Enumeration date
09/20/2006
Last updated
07/18/2022
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