Individual
WIEMI ABELL DOUOGUIH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
106 IRVING ST NW, SUITE 215, WASHINGTON, DC 20010-2927
(202) 291-9266
(202) 291-0886
Mailing address
106 IRVING ST NW, SUITE 215, WASHINGTON, DC 20010-2927
(202) 291-9266
(202) 291-0886
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
MD034358
DC
207XX0801X
Orthopaedic Trauma Physician
MD034358
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4566-0010
CAREFIRST BLUE CROSS
DC
01
—
P00150571
RAILROAD MEDICARE
DC
Enumeration date
10/02/2006
Last updated
05/06/2011
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