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Contact Information

HUMPHREY O ATIEMO, MD
2120 W CENTRAL AVE
TOLEDO, OH43606-3834
 Phone: 419-531-8558
 Fax: 419-531-8798
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urogynecology and Reconstructive Pelvic Surgery

2088F0040X
 

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for HUMPHREY O ATIEMO · (Male)

NPI Number 1245293299
Status Active
Credentials MD
Entity Individual
Enumeration date 04/10/2006
Last updated 11/01/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 4301089596
  • OH License # 35.086325
  • OH Medicaid 2595508
Hospital affiliation(s)
  • HENRY FORD HOSPITAL - (Acute Care)
    2799 W GRAND BLVD
    DETROIT, MI 48202
  • HENRY FORD WEST BLOOMFIELD HOSPITAL - (Acute Care)
    6777 WEST MAPLE ROAD
    W BLOOMFIELD, MI 48322
  • HENRY FORD WYANDOTTE HOSPITAL - (Acute Care)
    2333 BIDDLE AVE
    WYANDOTTE, MI 48192
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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