Individual
BRIAN IGONI WARIBOKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
300 STATE AVE, FARIBAULT, MN 55021-6319
(507) 333-3300
Mailing address
12200 WARWICK BLVD, NEWPORT NEWS, VA 23601-2344
(757) 534-6111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
61928
MN
Other
Enumeration date
04/04/2014
Last updated
01/07/2021
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