Provider Demographics
NPI:1154876522
Name:NWEKE, ONYINYECHI A (MD)
Entity type:Individual
Prefix:
First Name:ONYINYECHI
Middle Name:A
Last Name:NWEKE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 RAMSGATE RD
Mailing Address - Street 2:APT 5
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-3153
Mailing Address - Country:US
Mailing Address - Phone:248-635-0590
Mailing Address - Fax:
Practice Address - Street 1:1522 JANES AVE
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48601-1819
Practice Address - Country:US
Practice Address - Phone:989-755-0316
Practice Address - Fax:989-755-0956
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-16
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301500545208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics