Individual
NNAMDI CHIBUEZE OTUWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2999 N MAYFAIR RD, WAUWATOSA, WI 53222-4306
(414) 479-7000
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 479-7000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
15862
NV
207L00000X
Anesthesiology Physician
Primary
60331
WI
208600000X
Surgery Physician
125060536
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10034056
—
WI
05
—
1568751600
—
NV
Enumeration date
03/29/2011
Last updated
03/30/2023
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