Most Relevant Information
Provider Data
| NPI Number: | 1003479544 |
| Provider Name: | NGUM A NGWA MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/19/2019 |
| Last Updated: | 05/10/2019 |
Provider Practice Location
3901 BEAUBIEN ST
DETROIT
MI
482012119
Practice Location Phone/Fax
| Phone: | 3139660254 |
| Fax: |
Provider Mailing Location
3901 BEAUBIEN ST
DETROIT
MI
482012119
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |