Individual
MRS. NGOZI O NWAKAMMA-OKORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
960 S COLUMBIA RD - ALTRU CANCER CENTER, GRAND FORKS, ND 58201
(701) 780-5400
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201
(701) 780-1891
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
8970
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11745
—
ND
01
—
135582
UCARE MN
—
01
—
201200995
HUMANA
—
01
—
27696
BLUE CROSS NORTH DAKOTA
ND
01
—
3600716
MEDICA
ND
01
—
529L4OK
BLUE CROSS MINNESOTA
MN
05
—
923159500
—
MN
01
—
978931029653
PREFERRED ONE
—
01
—
HP38400
HEALTHPARTNERS #
ND
01
—
P00384589
RR MEDICARE
ND
Enumeration date
07/18/2006
Last updated
07/24/2020
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