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NPI Code Detail

MEDICARE: MR. MICHAEL ADU-TUTU JR.

MEDICARE: MR. MICHAEL ADU-TUTU JR.
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
1163WC0400XCase Management Registered Nurse267901AZ

General Provider Information

NPI Number : 1699622373
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MICHAEL ADU-TUTU JR.
Provider Business Mailing Address
First Line : 2025 N 3RD ST FL 3
Second Line :
City : PHOENIX
State : AZ
Zip : 85004-1486
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2025 N 3RD ST FL 3
Second Line :
City : PHOENIX
State : AZ
Zip : 85004-1486
Country : US
Telephone Number : 602-844-0213
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2026
Last Update Date : 03/12/2026

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