Individual
OJIAKU BALEWA IKEZUAGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
417 S EAST ST, SUITE #100, CORYDON, IA 50060-1860
(641) 872-2063
(641) 872-2070
Mailing address
417 S EAST ST, PO BOX 305, CORYDON, IA 50060-0305
(641) 872-2063
(641) 872-2070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40468
IA
Other
Enumeration date
01/09/2007
Last updated
05/16/2017
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