Individual
ABIYE LAWRENCE IBIEBELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5301 MCAULEY DR, YPSILANTI, MI 48197-1051
(734) 712-3000
Mailing address
5301 MCAULEY DR, YPSILANTI, MI 48197-1051
(734) 712-3456
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
125069944
IL
207P00000X
Emergency Medicine Physician
287482
MA
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
4301507290
MI
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
287482
MA
Other
Enumeration date
03/27/2017
Last updated
10/04/2022
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