Individual
BUKEKA DENISE THORPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9315 TELEGRAPH RD, REDFORD, MI 48239-1260
(313) 450-4500
Mailing address
300 WHITMORE RD APT 301, DETROIT, MI 48203-4140
(313) 784-1781
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
W425101139177
—
MI
Enumeration date
12/14/2017
Last updated
03/04/2022
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