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Individual

WOBO BEKWELEM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
10188154-1205
UT
207RI0011X
Interventional Cardiology Physician
Primary
10188154-1205
UT
207RI0011X
Interventional Cardiology Physician
56039
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3001846
UT
Enumeration date
05/12/2010
Last updated
04/13/2021
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