Individual
DZIWE WILLARD NTABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
Mailing address
622 WEST 168TH STREET PH1-137, NYPH- EMERGENCY DEPARTMENT, NEW YORK, NY 10032
(212) 305-2995
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
261141
NY
Other
Enumeration date
09/20/2006
Last updated
07/21/2022
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