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Individual

DR. EZECHUKWU O UMEH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
835 SWEITZER ST, GREENVILLE, OH 45331-1007
(937) 548-1141
Mailing address
14050 NW 14TH ST, SUNRISE, FL 33323-2865
(800) 424-3672

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.125668
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0116165
OH
Enumeration date
08/02/2012
Last updated
05/25/2016
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