Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kosisochi Michael Obinwanne, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1912179920

Dr. Kosisochi Michael Obinwanne, MD is a General Surgery in East Lansing, Michigan. Qualified in 2001, 25 years ago. Practices with Edward W Sparrow Hospital Association, a 694-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
25
Licensed in
WI
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2900 Hannah Blvd Ste 216
East Lansing, MI 48823-5382
Phone: (173) 648-1005
Fax: (517) 364-8103
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 57490 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1912179920
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2008
Last updated in NPPESDecember 29, 2020
Certification dateDecember 29, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Edward W Sparrow Hospital Association — 694 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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