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NPI Code Detail

MEDICARE: DR. PRINCEWELL UGOJINTA ONWERE D.O.

MEDICARE:  DR. PRINCEWELL UGOJINTA ONWERE  D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician5101014956MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P0014956OTHERMIBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164441721
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PRINCEWELL UGOJINTA ONWERE D.O.
Provider Business Mailing Address
First Line : 1200 N WEST AVE
Second Line :
City : JACKSON
State : MI
Zip : 49202-2179
Country : US
Telephone Number : 517-796-4540
Fax Number :
Provider Business Practice Location Address
First Line : 1200 N WEST AVE
Second Line :
City : JACKSON
State : MI
Zip : 49202-2179
Country : US
Telephone Number : 517-796-4540
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2006
Last Update Date : 07/07/2016

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Directions to “ DR. PRINCEWELL UGOJINTA ONWERE D.O.” Practice Location

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