Immanuel Amissah MD

NPI 1114066115 - Family Medicine - 207Q00000X

NPI Details
NPI 1114066115
Gender Male
Enumeration Date 02/06/2007
Last Updated 08/25/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
4350 WADSWORTH BLVD STE 201
WHEAT RIDGE CO, 80033-4634, US
Phone (720) 898-9612
Fax (720) 898-9614
Business Location
4350 WADSWORTH BLVD STE 201
WHEAT RIDGE CO, 80033-4634, US
Phone (720) 898-9612
Fax (720) 898-9614
Toxanomy
Taxonomy Code 207Q00000X
License State New Mexico
License Number 2006-0432
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According to our database, Immanuel Amissah MD NPI is 1114066115, taxonomy code is 207Q00000X and license number is 2006-0432, license state is located at New Mexico. Immanuel Amissah MD physically located at 4350 Wadsworth Blvd Ste 201, Wheat Ridge CO, 80033-4634. NPI Number Immanuel Amissah MD has the Individual type.

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1114066115 NPI number is provided on an as is basis without warranty of any kind. 1114066115 is maintained by the National Plan & Provider Enumeration System. The contents of Immanuel Amissah MD are for informational purposes only.