Provider Demographics
NPI:1639209414
Name:AMERICAN MEDICAL MISSIONARY CARE
Entity Type:Organization
Organization Name:AMERICAN MEDICAL MISSIONARY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHIDOZIE
Authorized Official - Middle Name:JOSHUA
Authorized Official - Last Name:ONONUJU
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:989-752-0762
Mailing Address - Street 1:1104 JANES AVE
Mailing Address - Street 2:SUITE 320
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48607-1683
Mailing Address - Country:US
Mailing Address - Phone:989-752-0762
Mailing Address - Fax:989-752-3556
Practice Address - Street 1:1104 JANES AVE
Practice Address - Street 2:SUITE 320
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48607-1683
Practice Address - Country:US
Practice Address - Phone:989-752-0762
Practice Address - Fax:989-752-3556
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMERICAN MEDICAL MISSIONARY CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-07
Last Update Date:2009-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty