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Individual

DR. KENNETH CHIDI ASOGWA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
860 S COLUMBIA RD, GRAND FORKS, ND 58201
(701) 780-6697
(701) 780-1507
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201
(701) 780-1891

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
15596
ND

Other

Enumeration date
06/28/2014
Last updated
04/25/2019
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