Kancc Medical PLC
Kancc Medical PLC is a Family Medicine Physician in Detroit, Michigan. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 4
Practice location Address checks out
17331 Mack AveDetroit, MI 48224-2250
Phone: (313) 473-8525
Fax: (313) 473-8521
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X |
| Surgery Physician | Taxonomy 208600000X |
| Primary Care Clinic/Center | Taxonomy 261QP2300X |
Record details
| NPI number | 1437710563 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Peter Nwoke — Owner · (313) 473-8525 |
| Other names | Kancc Medical |
| NPI enumerated | June 28, 2019 |
| Last updated in NPPES | July 18, 2022 |
| Certification date | July 18, 2022 |
| Mailing address | Po Box 806464, Saint Clair Shores, MI 48080-6464 |
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