Individual
VICTORIA NGOZI ANICHEBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1225 E COOLSPRING AVE STE 200, MICHIGAN CITY, IN 46360-6312
(317) 528-4800
(317) 865-1479
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10005399A
IN
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
085008780
IL
Other
Enumeration date
03/16/2022
Last updated
08/05/2026
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