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NPI Code Detail

MEDICARE: DANIEL U AKUBUKWE

MEDICARE: DANIEL U AKUBUKWE
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1891317749
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL U AKUBUKWE
Provider Business Mailing Address
First Line : 3383 RIVERSIDE DR
Second Line :
City : CANTON
State : MI
Zip : 48188-2338
Country : US
Telephone Number : 734-383-5816
Fax Number :
Provider Business Practice Location Address
First Line : 3917 RESEARCH PARK DR STE E-1A
Second Line :
City : ANN ARBOR
State : MI
Zip : 48108-2229
Country : US
Telephone Number : 734-794-2930
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2020
Last Update Date : 05/14/2020

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Directions to “ DANIEL U AKUBUKWE ” Practice Location

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