Idongesit Ukpong

NPI #1295468395 in Kronenwetter, Wisconsin

Provider Information

NPI Number: 1295468395
Entity Type: Individual
Name: Idongesit Ukpong
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jul 6, 2022
Last Updated: Jul 6, 2022

Practice Location

Address: 2507 FOREST GROVE AVE
City: Kronenwetter
State: Wisconsin
ZIP Code: 54455-8007
Phone: (715) 212-0199

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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