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Idongesit Ukpong
Student in an Organized Health Care Education/Training Program in Kronenwetter, Wisconsin
NPI 1295468395

Idongesit Ukpong is a Student in an Organized Health Care Education/Training Program based in Kronenwetter, WI. Idongesit Ukpong practices in Kronenwetter, WI. The NPI Number for Idongesit Ukpong is 1295468395 and holds a License No. (Wisconsin).

The current practice location address for Idongesit Ukpong is 2507 Forest Grove Ave, Kronenwetter, WI and can be reached out via phone at 715-212-0199.

Location: 2507 Forest Grove Ave, Kronenwetter, WI, 54455-8007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295468395
Provider Name
Idongesit Ukpong
Credential
Provider Entity Type
Individual
Gender
Male
Address
2507 Forest Grove Ave, Kronenwetter, WI, 54455-8007
Phone Number
715-212-0199
Fax Number
Provider Enumeration Date
07/06/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2507 Forest Grove Ave
City
Kronenwetter
State
Wisconsin
Zip
54455-8007
Phone Number
715-212-0199
Fax Number
person
Provider Business Mailing Address Details
Address
2507 Forest Grove Ave
City
Kronenwetter
State
Wisconsin
Zip
54455-8007
Phone Number
715-212-0199
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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