Individual provider · NPI-1

Ositadinma C. Anene, M.D.

Family Medicine · Woodbury, MN

NPI number1194925313
StatusActive
Last updated in NPPESJun 26, 2012

Details

NPI
1194925313
Entity type
Individual (NPI-1)
Name
Ositadinma C. Anene
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 25, 2007
Last updated
Jun 26, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine52641MNYes

Practice location

1875 Woodwinds Dr
Woodbury, MN 55125-2298

Phone 651-232-6700 · Fax 651-232-6711

Mailing address

1875 Woodwinds Dr
Woodbury, MN 55125-2298

Phone 651-232-6700 · Fax 651-232-6711

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