Individual
INGRID BWAHAMA KAIJAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 CURVE CREST BLVD W, STILLWATER, MN 55082-6040
(514) 391-2346
Mailing address
8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
54704
MN
Other
Enumeration date
05/06/2009
Last updated
03/10/2022
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