Doctor Name: | DR. CHIJIOKE CHIKA NWAGWU |
NPI Number: | 1033233259 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | 5101016657 |
Business Practice Address: | 28455 Haggerty Rd Ste 200 Novi, MI - 48377 |
Business Phone Number: | 2488933200 |
Business Fax Number: | 2488932950 |
Mailing Address: | 6676 Solutions Ctr, CHICAGO |
State: | IL |
Postal Code: | 606776006 |
Phone Number: | 2488933220 |
Fax Number: | 2488932951 |
NPI Enumeration Date: | 03/16/2007 |
NPI Last Update Date: | 12/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 5101016657 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |