Charles K Wiredu MD

NPI 1114117892 - Internal Medicine - 207R00000X

NPI Details
NPI 1114117892
Gender Male
Enumeration Date 07/27/2007
Last Updated 01/12/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
960 E WALNUT LAWN
SUITE 201
SPRINGFIELD MO, 65807, US
Phone (417) 269-4450
Fax (417) 269-8333
Business Location
960 E WALNUT LAWN
SUITE 201
SPRINGFIELD MO, 65807, US
Phone (417) 269-4450
Fax (417) 269-8333
Toxanomy
Taxonomy Code 207R00000X
License State Illinois
License Number 036117958
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According to our database, Charles K Wiredu MD NPI is 1114117892, taxonomy code is 207R00000X and license number is 036117958, license state is located at Illinois. Charles K Wiredu MD physically located at 960 E Walnut Lawn, Springfield MO, 65807. NPI Number Charles K Wiredu MD has the Individual type.

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1114117892 NPI number is provided on an as is basis without warranty of any kind. 1114117892 is maintained by the National Plan & Provider Enumeration System. The contents of Charles K Wiredu MD are for informational purposes only.