Individual
STANLEY EZIUKWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 BELLEFONTAINE AVE, LIMA, OH 45804-2800
(419) 228-3335
Mailing address
1001 BELLEFONTAINE AVE, LIMA, OH 45804-2800
(419) 228-3335
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35.141450
OH
208M00000X
Hospitalist Physician
35.141450
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0444619
—
OH
Enumeration date
06/06/2017
Last updated
10/23/2023
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