Individual
MR. ROBERT EZIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SA-C, CSA
Contact information
Practice address
310 98TH LN NW, COON RAPIDS, MN 55433-5613
(443) 528-6114
Mailing address
310 98TH LN NW, COON RAPIDS, MN 55433-5613
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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