Individual
OLACHI JENNIFER EGBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
Mailing address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
75108
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100167554
—
WI
Enumeration date
07/25/2018
Last updated
05/28/2024
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