Dr. Innocent Egwuatu Agbassi, M.D.
Family Medicine, Adult Medicine in Livonia, MI. Individual provider (NPI-1).
NPI number1922053636
StatusActive
Last updated in NPPESJun 16, 2016
Details
- NPI
- 1922053636
- Entity type
- Individual (NPI-1)
- Name
- Dr. Innocent Egwuatu Agbassi
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 23, 2006
- Last updated
- Jun 16, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QA0505X | Family Medicine, Adult Medicine | 4301075373 | MI | Yes |
Practice location
15357 Farmington RdSuite 2
Livonia, MI 48154-2847
Phone 734-266-3565 · Fax 734-266-3566
Mailing address
15357 Farmington RdSuite 2
Livonia, MI 48154-2847
Phone 734-266-3565 · Fax 734-266-3566
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