Individual
KAODICHINMA OGBONNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6071 W OUTER DR, DETROIT, MI 48235-2624
(313) 966-1400
Mailing address
18362 CEDAR ISLAND BLVD, BROWNSTOWN, MI 48174-9584
(313) 646-3101
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704267833
MI
Other
Enumeration date
01/04/2019
Last updated
01/04/2019
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