Healthcare Provider Details

I. General information

NPI: 1457702359
Provider Name (Legal Business Name): PAGE UZEZI KIMBER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DR. PAGE UZEZI ANIMADU

II. Dates (important events)

Enumeration Date: 06/22/2016
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 E MICHIGAN AVE STE C
GRAYLING MI
49738-7074
US

IV. Provider business mailing address

18101 OAKWOOD BLVD
DEARBORN MI
48124-4089
US

V. Phone/Fax

Practice location:
  • Phone: 989-348-0550
  • Fax:
Mailing address:
  • Phone: 313-593-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number13429
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD-56806
License Number StateIA
# 3
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number4351040098
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: