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ENYIOMA CHUKWUZURUM OKECHUKWU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
265 GRIFFIN ST E, AMERY, WI 54001-1439
(715) 268-8000
Mailing address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(248) 761-9927

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
65558
MN
207P00000X
Emergency Medicine Physician
Primary
71138-20
WI

Other

Enumeration date
06/30/2016
Last updated
06/27/2019
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