Individual
KELECHI NGOZI CHIORI-OMOTOSO
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 54307-3508
(920) 433-0111
Mailing address
835 S VAN BUREN ST, GREEN BAY, WI 54307-3508
(920) 433-0111
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
51757020
WI
Other
Enumeration date
04/10/2008
Last updated
01/09/2015
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