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Ted George Ody Achufusi, DO
Family Medicine Physician in Michigan City, Indiana
NPI 1033353792

Ted George Ody Achufusi is a Family Medicine Physician based in Detroit, IN. Ted George Ody Achufusi practices in Michigan City, IN and has the professional credentials of DO. The NPI Number for Ted George Ody Achufusi is 1033353792 and holds a License No. 036129835 (Indiana).

The current practice location address for Ted George Ody Achufusi is 1225 E Coolspring Ave Ste 2F, Michigan City, IN and can be reached out via phone at 219-873-2904 and via fax at 219-873-2483.

Location: 1225 E Coolspring Ave Ste 2F, Michigan City, IN, 48278-1076
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033353792
Provider Name
Ted George Ody Achufusi
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1225 E Coolspring Ave Ste 2F, Michigan City, IN, 48278-1076
Phone Number
219-873-2904
Fax Number
219-873-2483
Provider Enumeration Date
04/26/2009
Last Update Date
01/18/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
151020027 01 IN PTAN
036129835 05 IL
201115610 05 KS
institution
Provider Business Practice Location Address Details
Address
1225 E Coolspring Ave Ste 2F
City
Michigan City
State
Indiana
Zip
46360-6312
Phone Number
219-873-2904
Fax Number
219-873-2483
person
Provider Business Mailing Address Details
Address
1225 E Coolspring Ave Ste 2F
City
Michigan City
State
Indiana
Zip
46360-6312
Phone Number
219-873-2904
Fax Number
219-873-2483
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
(Maine)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
036129835 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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