Individual
LEONARD C. EGBUJIOBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1969 WEST HART ROAD, BELOIT MEMORIAL HOSPITAL, BELOIT, WI 53511
(608) 364-2200
(608) 363-7377
Mailing address
1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC, BELOIT, WI 53511-1842
(608) 364-2200
(608) 363-7377
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
30790-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10798
DEAN HEALTH PLAN
—
05
—
1972679355
—
WI
Enumeration date
11/28/2006
Last updated
10/19/2011
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