Individual
IFECHI ANYADIOHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 E. MADISON AVE, SUITE 402, MANKATO, MN 56001-5473
(507) 625-7246
Mailing address
1400 E. MADISON AVE, SUITE 402, MANKATO, MN 56001-5473
(507) 625-7246
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
55220-20
WI
208VP0014X
Interventional Pain Medicine Physician
Primary
TP107561
MN
Other
Enumeration date
07/10/2009
Last updated
03/17/2018
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