Individual
IKECHUKWU OKECHUKWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1577 LEGACY PKWY E UNIT 2, MAPLEWOOD, MN 55109-5416
(651) 302-6715
Mailing address
1577 LEGACY PKWY E UNIT 2, MAPLEWOOD, MN 55109-5416
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5598
MN
Other
Enumeration date
12/19/2017
Last updated
09/22/2024
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