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Individual

CHIZOBA NICOLE OKECHUKWU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3500 TOWER AVENUE, SUPERIOR, WI 54880-5335
(715) 817-7100
Mailing address
4921 MAGAZINE ST APT C, NEW ORLEANS, LA 70115-1734
(225) 247-2381

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
69286-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
LA

Other

Enumeration date
04/14/2015
Last updated
09/14/2018
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