Individual
DR. OBIOMA J. IGBOKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
400 EAST 3RD STREET, ESSENTIA HEALTH DULUTH CLINIC, DULUTH, MN 55805
(218) 786-8364
Mailing address
400 EAST 3RD STREET, ESSENTIA HEALTH DULUTH CLINIC, DULUTH, MN 55805
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
52245
MN
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
52245
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104082171
—
MN
05
—
1104082171
—
WI
Enumeration date
07/30/2008
Last updated
12/02/2015
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