Individual
GIDEON NGUNU NJANKWI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14825 SOUTHFIELD RD, ALLEN PARK, MI 48101-2642
(313) 383-7071
Mailing address
28915 SEDGEWAY DR, ROMULUS, MI 48174-3691
(173) 468-6217
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
4704281219
MI
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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