Provider Demographics
NPI:1982833422
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:
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:989-752-0706
Mailing Address - Street 1:1320 N MICHIGAN AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48602-4751
Mailing Address - Country:US
Mailing Address - Phone:989-752-0706
Mailing Address - Fax:989-752-0709
Practice Address - Street 1:G-6061 N. SAGINAW ST.
Practice Address - Street 2:
Practice Address - City:MT. MORRIS
Practice Address - State:MI
Practice Address - Zip Code:48458
Practice Address - Country:US
Practice Address - Phone:810-766-9561
Practice Address - Fax:810-766-9574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-06
Last Update Date:2009-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty