MEDICARE: EMMANUEL TAMBWE

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
1	376J00000X	Homemaker		OH

General Provider Information

NPI Number	:	1679420046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMMANUEL TAMBWE

Provider Business Mailing Address
First Line	:	7242 DUKE DR
Second Line	:
City	:	CANAL WINCHESTER
State	:	OH
Zip	:	43110-2508
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7242 DUKE DR
Second Line	:
City	:	CANAL WINCHESTER
State	:	OH
Zip	:	43110-2508
Country	:	US
Telephone Number	:	616-322-9591
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2026
Last Update Date	:	03/13/2026

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Directions to “ EMMANUEL TAMBWE ” Practice Location

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