Individual
KWABENA OWARE ADU-GYAMFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1860 SHAWANO AVE, GREEN BAY, WI 54303-2667
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301100667
MI
207R00000X
Internal Medicine Physician
63234-20
WI
207R00000X
Internal Medicine Physician
88509
GA
207RG0100X
Gastroenterology Physician
Primary
63234-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100045953
—
WI
Enumeration date
07/25/2012
Last updated
12/18/2024
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