Individual
DR. MARTIN UGOCHUKWU EGENTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
826 W KING ST, OWOSSO, MI 48867-2120
(899) 723-5211
Mailing address
4842 WASHTENAW AVENUE, APT C1, ANN ARBOR, MI 48108
(202) 487-7419
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301101807
MI
208600000X
Surgery Physician
0116020489
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12614228
CAQH
MI
Enumeration date
09/04/2008
Last updated
05/03/2019
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