Individual provider · NPI-1

Dr. Jordan I Amatuegwu, M.D.

Family Medicine · Fargo, ND

NPI number1467985291
StatusActive
Last updated in NPPESJun 8, 2023

Details

NPI
1467985291
Entity type
Individual (NPI-1)
Name
Dr. Jordan I Amatuegwu
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Apr 8, 2017
Certification date
Jun 8, 2023
Last updated
Jun 8, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine16442NDYes

Practice location

2400 32nd Ave S
Fargo, ND 58103-5800

Phone 701-234-2000

Mailing address

Po Box 5074
Sioux Falls, SD 57117-5074

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