Brian Igoni Wariboko, M.D
Family Medicine in Faribault, MN. Individual provider (NPI-1).
NPI number1457779563
StatusActive
Last updated in NPPESJan 7, 2021
Details
- NPI
- 1457779563
- Entity type
- Individual (NPI-1)
- Name
- Brian Igoni Wariboko
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 4, 2014
- Certification date
- Jan 7, 2021
- Last updated
- Jan 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 61928 | MN | Yes |
Practice location
300 State AveFaribault, MN 55021-6319
Phone 507-333-3300
Mailing address
12200 Warwick BlvdNewport News, VA 23601-2344
Phone 757-534-6111
Other practice locations
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All 27 Family Medicine Physician providers in Faribault · All 700 providers in Faribault
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