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Individual

NZUBE EKPUNOBI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
752 N HIGH POINT RD, MADISON, WI 53717-2236
(608) 824-4000
(608) 824-4104
Mailing address
752 N HIGH POINT RD, MADISON, WI 53717-2236
(608) 824-4000
(608) 824-4104

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
84243-20
WI
208M00000X
Hospitalist Physician
84243-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
4351048640
MI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1225603681
WI
01
4351048640
MI STATE MED LICENSE
MI
Enumeration date
05/26/2021
Last updated
11/22/2024
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