Provider Demographics
NPI:1730390246
Name:TOWEH, PEDRO OJITEVWOBO (MD, PT)
Entity type:Individual
Prefix:DR
First Name:PEDRO
Middle Name:OJITEVWOBO
Last Name:TOWEH
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Gender:M
Credentials:MD, PT
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Mailing Address - Street 1:13697 15 MILE RD
Mailing Address - Street 2:OMG PM&R
Mailing Address - City:MARSHALL
Mailing Address - State:MI
Mailing Address - Zip Code:49068-8533
Mailing Address - Country:US
Mailing Address - Phone:269-789-8298
Mailing Address - Fax:269-789-8299
Practice Address - Street 1:13697 15 MILE RD
Practice Address - Street 2:OMG PM&R
Practice Address - City:MARSHALL
Practice Address - State:MI
Practice Address - Zip Code:49068-8533
Practice Address - Country:US
Practice Address - Phone:269-789-8298
Practice Address - Fax:269-789-8299
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2013-02-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301097822208100000X
MI53150486401835P1200X
MI5501005336225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0A37669Medicare PIN