Individual
CHUKWUKA OSCAR NNOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
607 DEMERS AVE, EAST GRAND FORKS, MN 56721-1833
(701) 795-2000
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201-4183
(701) 780-1891
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13085
MN
363A00000X
Physician Assistant
PAC0787
ND
Other
Enumeration date
05/15/2019
Last updated
10/19/2020
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