Individual
RICHARD AMANKWAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
(920) 433-0111
Mailing address
PO BOX 8003, APPLETON, WI 54912-8003
(920) 996-3200
(920) 738-5787
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
60042
WI
208M00000X
Hospitalist Physician
Primary
60042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100033976
—
WI
Enumeration date
04/15/2011
Last updated
09/27/2023
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