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Individual

OWUSU-BEKOE OPOKU-OWUSU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-8100
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(920) 288-8100

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
62417
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100038836
WI
05
64130081
KY
Enumeration date
12/19/2006
Last updated
10/13/2023
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