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NPI Code Detail

MEDICARE: LIVINGSTONE CHUKWUEMEKA IGWE

MEDICARE: LIVINGSTONE CHUKWUEMEKA IGWE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician46007MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588693238
Entity Type Code : Individual
Provider Name (Legal Business Name) : LIVINGSTONE CHUKWUEMEKA IGWE
Provider Business Mailing Address
First Line : 4621 E SUPERIOR ST
Second Line :
City : DULUTH
State : MN
Zip : 55804-2338
Country : US
Telephone Number : 218-786-3550
Fax Number : 218-525-7487
Provider Business Practice Location Address
First Line : 4621 E SUPERIOR ST
Second Line :
City : DULUTH
State : MN
Zip : 55804-2338
Country : US
Telephone Number : 218-786-3550
Fax Number : 218-525-7487
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2006
Last Update Date : 05/06/2011

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Directions to “ LIVINGSTONE CHUKWUEMEKA IGWE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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