Individual
IKEMEFUNA CHUKWUEMEKA AJAELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
750 E 34TH ST, HIBBING, MN 55746-2341
(218) 262-4881
Mailing address
1450 TREAT BLVD STE 160, WALNUT CREEK, CA 94597-2168
(925) 296-9000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
47833
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
851458500
—
MN
Enumeration date
07/06/2006
Last updated
08/06/2019
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