Odilichi Ezenwanne, M.D. Valid NPI

Individual provider · Public Health & General Preventive Medicine Physician · Tunica, MS

NPI

1841504206

Type

Individual (Type 1)

Primary specialty

Public Health & General Preventive Medicine Physician (Preventive Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2083P0901X

License number

67275 (WI)

Sex

Male

Sole proprietor

No

Enumerated

2010-07-27

Last updated

2020-02-18