Individual
JON MUGWERU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1331 N ELM ST STE 200, GREENSBORO, NC 27401-6304
(336) 274-6682
(336) 274-8097
Mailing address
PO BOX 85378, CHICAGO, IL 60689-5378
(336) 274-6682
(336) 274-8097
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
0101274007
VA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
2022-00503
NC
2085R0204X
Vascular & Interventional Radiology Physician
87219
SC
390200000X
Student in an Organized Health Care Education/Training Program
TRN21721
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
07/10/2015
Last updated
10/01/2025
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