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Individual

ANNE ENANGA LIWONJO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
701 HEWITT BLVD, RED WING, MN 55066-2848
(651) 267-5000
Mailing address
1386 N 10TH ST, LAKE CITY, MN 55041-3313
(612) 701-6252

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036134343
IL
207Q00000X
Family Medicine Physician
Primary
60498
MN

Other

Enumeration date
08/11/2010
Last updated
09/29/2020
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