Individual
ENIOLA RAHEEM IBIROGBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B.B.S.
Contact information
Practice address
330 BARCLAY AVE NE STE 304, GRAND RAPIDS, MI 49503-2527
(616) 391-2160
(616) 391-2683
Mailing address
330 BARCLAY AVE NE STE 304, GRAND RAPIDS, MI 49503-2527
(616) 391-2160
(616) 391-2683
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4351047274
MI
Other
Enumeration date
04/11/2020
Last updated
05/16/2022
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