Individual
EDWARD NWACHUKWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-8000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
84105
WI
208M00000X
Hospitalist Physician
MD464822
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100284811
—
WI
Enumeration date
08/07/2015
Last updated
11/04/2024
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