Individual
DR. KOSISOCHI MICHAEL OBINWANNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2900 HANNAH BLVD STE 216, EAST LANSING, MI 48823-5382
(173) 648-1005
(517) 364-8103
Mailing address
PO BOX 13008, LANSING, MI 48901-3008
(517) 253-6320
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
57490
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2008
Last updated
12/29/2020
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