Individual
IFEANYI JEFFREY MBAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
820 ARBUTUS AVE STE 102, OCONTO, WI 54153-2004
(920) 834-8833
Mailing address
2851 UNIVERSITY AVE, GREEN BAY, WI 54311-5855
(920) 431-2642
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
76210-20
WI
Other
Enumeration date
03/26/2020
Last updated
10/07/2025
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