Doctor Name: | MARGARET IJEOMA AGUWA |
NPI Number: | 1477594786 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | 5101007024 |
Business Practice Address: | 2929 Coventing Court Lansing, MI - 48912 |
Business Phone Number: | 5173714971 |
Business Fax Number: | 5173551710 |
Mailing Address: | A322 W Fee Hall, EAST LANSING |
State: | MI |
Postal Code: | 48824 |
Phone Number: | 5173534497 |
Fax Number: | |
NPI Enumeration Date: | 06/09/2006 |
NPI Last Update Date: | 04/15/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 5101007024 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |