| Doctor Name: | PETER NWOKE |
| NPI Number: | 1841398955 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D |
| License Number: | 4301082666 |
| Business Practice Address: | 901 W Grand Blvd Detroit, MI - 482082353 |
| Business Phone Number: | 3133933141 |
| Business Fax Number: | 3133933144 |
| Mailing Address: | Po Box 806464, SAINT CLAIR SHORES |
| State: | MI |
| Postal Code: | 480806464 |
| Phone Number: | 3133933141 |
| Fax Number: | 3133933144 |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 12/23/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 4301082666 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |