Individual
DR. NORMA INOCENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2055 E 14 MILE RD, SUITE 120, BIRMINGHAM, MI 48009-7256
(248) 645-1740
(248) 645-5304
Mailing address
2055 E 14 MILE RD, SUITE 120, BIRMINGHAM, MI 48009-7256
(248) 645-1740
(248) 645-5304
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
NI040049
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114133
CARE CHOICES
MI
01
—
148135
GLHP
MI
01
—
350F314450
BCBS OF MICHIGAN
MI
05
—
4694705
—
MI
Enumeration date
09/13/2005
Last updated
04/05/2026
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