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Individual

MICHELLE M NWABUDIKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
3625 W 65TH ST, SUITE 100, EDINA, MN 55435-2106
(952) 920-7001
(952) 920-2245
Mailing address
3625 W 65TH ST, SUITE 100, EDINA, MN 55435-2106
(952) 920-7001
(952) 920-2245

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
R 1416871
MN
363LW0102X
Women's Health Nurse Practitioner
Primary
2922
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0701644
MEDICA
MN
01
26G91NW
BCBS
MN
05
363826000
MN
Enumeration date
08/19/2006
Last updated
03/31/2021
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