Individual
INIMFON UDOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1200 PORT ARTHUR RD, LADYSMITH, WI 54848-1137
(715) 532-5561
Mailing address
YNHH NORTHEAST MEDICAL GROUP FAMILY MEDICINE, 2 SANDY DESERT RD., UNCASVILLE, CT 06382
(860) 464-3800
(860) 464-3801
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
71408
WI
207Q00000X
Family Medicine Physician
Primary
077374
CT
Other
Enumeration date
06/16/2016
Last updated
08/23/2024
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