Individual
ANTONIA NWANKWO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14601 DETROIT AVE, LAKEWOOD, OH 44107-4205
(216) 237-5500
Mailing address
14601 DETROIT AVE, LAKEWOOD, OH 44107-4205
(216) 237-5500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.144772
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2019
Last updated
11/10/2022
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