Individual
EMMANUEL KWADWO NIMAKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
7138 RITCHIE HWY, GLEN BURNIE, MD 21061-2904
(410) 863-0500
Mailing address
9601 PULASKI PARK DR STE 416, MIDDLE RIVER, MD 21220-1409
(410) 933-5678
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C06869
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
C06869
—
MD
Enumeration date
09/10/2018
Last updated
09/10/2018
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