Individual
NDIDIAMAKA KOKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2215 E LAKE ST STE 500, MINNEAPOLIS, MN 55407-4385
(612) 873-6963
(612) 276-0188
Mailing address
701 PARK AVE # SL350, MINNEAPOLIS, MN 55415-1623
(612) 873-9696
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42423
MN
Other
Enumeration date
06/03/2006
Last updated
02/24/2025
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