Individual
DR. NDIDIAMAKA CECILIA AGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
835 S. VAN BUREN ST., GREEN BAY, WI 54301-3526
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
55755-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/13/2008
Last updated
09/16/2016
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