Provider Demographics
NPI:1487761722
Name:MUKEKU, DUNCAN KOTI (DC)
Entity type:Individual
Prefix:DR
First Name:DUNCAN
Middle Name:KOTI
Last Name:MUKEKU
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21790 COOLIDGE HWY
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48237-3156
Mailing Address - Country:US
Mailing Address - Phone:248-398-1650
Mailing Address - Fax:248-398-1653
Practice Address - Street 1:21790 COOLIDGE HWY
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:MI
Practice Address - Zip Code:48237
Practice Address - Country:US
Practice Address - Phone:248-398-1650
Practice Address - Fax:248-398-1653
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2018-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009139111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor