Individual
DR. UCHENNA A EZIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
370 CLINE AVE, MANSFIELD, OH 44907-1057
(419) 709-9597
Mailing address
PO BOX 5096, MANSFIELD, OH 44901-5096
(419) 709-9597
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R1428
KY
207RI0200X
Infectious Disease Physician
Primary
OH 35093594
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2595286
—
OH
Enumeration date
03/25/2007
Last updated
12/29/2020
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