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Individual

DR. OMOSALEWA ITAUMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4401 CAMPUS RIDGE DR STE LL110, MIDLAND, MI 48640-6126
(989) 837-9400
Mailing address
3956 MOUNT ELLIOTT ST, DETROIT, MI 48207-1841
(313) 925-4540

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301098768
MI

Other

Enumeration date
06/18/2009
Last updated
12/14/2022
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