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Contact Information

JEREOHA C NWOBODO
3300 OAKDALE AVE N
ROBBINSDALE, MN55422
 Phone: 763-520-5200
 Fax: 763-581-4771
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Hospitalist

208M00000X
Indicates primary specialty

NPI Profile & details for JEREOHA C NWOBODO · (Male)

NPI # 1316358518
Status Active
Credentials
Entity Individual
Enumeration date 05/12/2014
Last updated 04/12/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 63986
Hospital affiliation(s)
  • MAPLE GROVE HOSPITAL - (Acute Care)
    9875 HOSPITAL DRIVE
    MAPLE GROVE, MN 55369
  • NORTH MEMORIAL MEDICAL CENTER - (Acute Care)
    3300 OAKDALE NORTH
    ROBBINSDALE, MN 55422
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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