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Individual

DR. IMMIRNE MONET OUWINGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
10845 TOWN CENTER BLVD, SUITE 102, DUNKIRK, MD 20754-2712
(410) 535-5660
(410) 535-5722
Mailing address
100 HOSPITAL RD, PRINCE FREDERICK, MD 20678-4017
(410) 414-4791
(410) 414-4558

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036128568
IL
207Q00000X
Family Medicine Physician
125055374
IL
207Q00000X
Family Medicine Physician
Primary
D0078131
MD
207QA0401X
Addiction Medicine (Family Medicine) Physician
D78131
MD

Other

Enumeration date
08/05/2008
Last updated
03/07/2023
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