Individual
DR. ANDREA OKIEMUTE AKPOGUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311
(920) 288-8000
(920) 288-3073
Mailing address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-8000
(920) 288-3073
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
63826
WI
208M00000X
Hospitalist Physician
Primary
63826
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100046265
—
WI
Enumeration date
05/27/2009
Last updated
11/18/2021
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