Individual provider · Type 1 NPI
Brenda Ubom, DO
General Practice Physician · Dearborn, MI
NPI number
1689840472
Active
Practice location
3001 Miller Rd
Dearborn, MI 48120-1458
Fax (313) 845-4626
Mailing address
24410 Santa Barbara St
Southfield, MI 48075-6813
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 5101007548 (MI) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1689840472
Brenda Ubom, DO's National Provider Identifier is 1689840472, issued on May 1, 2008. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Dearborn, MI. The record was last updated on May 1, 2008.