Individual
DR. INNOCENT EGWUATU AGBASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15357 FARMINGTON RD, SUITE 2, LIVONIA, MI 48154-2847
(734) 266-3565
(734) 266-3566
Mailing address
15357 FARMINGTON RD, SUITE 2, LIVONIA, MI 48154-2847
(734) 266-3565
(734) 266-3566
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
4301075373
MI
Other
Enumeration date
05/23/2006
Last updated
06/16/2016
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