Individual
JOYCE IHIOMA ONYEKABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1925 1ST AVE S, MINNEAPOLIS, MN 55403-3724
(612) 871-4354
(612) 872-4343
Mailing address
1925 1ST AVE S, MINNEAPOLIS, MN 55403-3724
(612) 871-4354
(612) 872-4343
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36657
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0407266
MEDICA
MN
05
—
057222500
—
MN
01
—
171021
UCARE
MN
01
—
438R5ON
BLUES
MN
01
—
HP11163
HEALTHPARTNERS
MN
Enumeration date
04/27/2006
Last updated
09/24/2012
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