Individual
DR. ANNA EJUILE ADEKUGBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
8933 WHITE OAK AVE, MUNSTER, IN 46321-3134
(219) 838-7703
Mailing address
1137 TREADWAY RD, MUNSTER, IN 46321-2856
(617) 308-1720
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01072692A
IN
208000000X
Pediatrics Physician
125057555
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201190960
—
IN
Enumeration date
06/09/2011
Last updated
02/21/2023
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