Individual
ISSAKA O NSIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1726 SHAWANO AVE, GREEN BAY, WI 54303-3216
(920) 496-4700
Mailing address
1726 SHAWANO AVE, GREEN BAY, WI 54303-3216
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
56136-020
WI
Other
Enumeration date
08/02/2011
Last updated
08/02/2011
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