Jennifer Erinma Udeogu, MD | |
5300 Memorial Dr, Two Rivers, WI 54241-3923 | |
(920) 793-7337 | |
Not Available |
Full Name | Jennifer Erinma Udeogu |
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Gender | Female |
Speciality | Pediatrics |
Location | 5300 Memorial Dr, Two Rivers, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962155077 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 85087-20 (Wisconsin) | Primary |
Entity Name | Fairview Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
Entity Name | Fairview Express Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Erinma Udeogu, MD 717 Delaware St Se Ste 353, Minneapolis, MN 55414-2959 Ph: (612) 626-3761 | Jennifer Erinma Udeogu, MD 5300 Memorial Dr, Two Rivers, WI 54241-3923 Ph: (920) 793-7337 |
Angela Katsma, Pediatrics Medicare: Medicare Enrolled Practice Location: 5300 Memorial Dr, Two Rivers, WI 54241 Phone: 920-793-7337 Fax: 920-793-6589 | |
Dr. Ali A Mir, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2219 Garfield St, Two Rivers, WI 54241 Phone: 920-793-2281 Fax: 920-793-3669 | |
Beverly J Ricker, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5300 Memorial Dr, Two Rivers, WI 54241 Phone: 429-075-9853 | |
Jennifer Renee Cappelle, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5300 Memorial Dr, Two Rivers, WI 54241 Phone: 920-793-7300 |