Provider Demographics
NPI:1902251150
Name:UCHEL, TORIBIONG (MD)
Entity Type:Individual
Prefix:
First Name:TORIBIONG
Middle Name:
Last Name:UCHEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 OLD PINE WAY
Mailing Address - Street 2:
Mailing Address - City:WALLED LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:48390-3546
Mailing Address - Country:US
Mailing Address - Phone:989-820-8598
Mailing Address - Fax:
Practice Address - Street 1:440 OLD PINE WAY
Practice Address - Street 2:
Practice Address - City:WALLED LAKE
Practice Address - State:MI
Practice Address - Zip Code:48390-3546
Practice Address - Country:US
Practice Address - Phone:989-820-8598
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-25
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI390200000207R00000X
NC2022-01620207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine