Individual
INES A TEUMA NGUIMFACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1213 15TH AVE W, WILLISTON, ND 58801-3800
(701) 572-7651
Mailing address
1301 15TH AVE W, WILLISTON, ND 58801-3821
(701) 774-7400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16509
ND
207Q00000X
Family Medicine Physician
300099
NY
207VX0000X
Obstetrics Physician
16509
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1480547
—
ND
Enumeration date
04/26/2016
Last updated
06/09/2021
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