Provider Demographics
NPI:1447556436
Name:OKORO, MADUABUCHI UKA (MD)
Entity type:Individual
Prefix:DR
First Name:MADUABUCHI
Middle Name:UKA
Last Name:OKORO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4000 WELLNESS DR
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48670-2000
Mailing Address - Country:US
Mailing Address - Phone:989-839-1644
Mailing Address - Fax:989-839-1376
Practice Address - Street 1:4000 WELLNESS DR
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48670-2000
Practice Address - Country:US
Practice Address - Phone:989-839-1644
Practice Address - Fax:989-839-3029
Is Sole Proprietor?:No
Enumeration Date:2011-02-08
Last Update Date:2019-11-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301097788207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine