Individual
DR. ANIEBIETABASI OKON-UMOREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2799 W GRAND BOULEVARD, DETROIT, MI 48202
(313) 916-1601
(313) 916-2018
Mailing address
ONE FORD PLACE 2E, DETROIT, MI 48202
(313) 874-5378
(313) 916-2018
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4351044811
MI
Other
Enumeration date
07/03/2019
Last updated
03/09/2020
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