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Individual

JOEL IGWEGBE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
30300 TELEGRAPH RD, SUITE 123, BINGHAM FARMS, MI 48025-4507
(248) 430-0200
Mailing address
30300 TELEGRAPH RD, SUITE 123, BINGHAM FARMS, MI 48025-4507
(248) 430-0200

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703106864
MI

Other

Enumeration date
11/05/2014
Last updated
11/05/2014
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