Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 75791 | WI |
N | 208600000X | Surgeon | 75791 | WI |
Y | 2086X0206X | Surgical Oncologist | 75791 | WI |
NPI | 1184750853 |
---|---|
Provider Name | Ugwuji Nkiruka Maduekwe |
First Address | Milwaukee, WI 53226-3522 |
Second Address | Milwaukee, WI 53226-3522 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2007 |
Last Update Date | 25/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1184750853 | (05) | WI |