Individual
OLIVIA NNENNA NWAEDOZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
N3708 RIVER AVE, NEILLSVILLE, WI 54456-1799
(715) 819-8468
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
102217-875
WI
207Q00000X
Family Medicine Physician
332943
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/14/2019
Last updated
10/22/2024
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