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Individual

DR. IFEYINWA N IGWE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3305 S 20TH ST, MILWAUKEE, WI 53215-4940
(414) 645-1984
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
56322
WI
207R00000X
Internal Medicine Physician
54697
MN
207R00000X
Internal Medicine Physician
56322
WI
207RA0401X
Addiction Medicine (Internal Medicine) Physician
56322
WI
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
54697
MN
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
56322
WI
208VP0000X
Pain Medicine Physician
54697
MN
208VP0000X
Pain Medicine Physician
56322
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100023099
WI
Enumeration date
07/19/2008
Last updated
05/10/2024
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