Provider Demographics
NPI:1104116169
Name:NWANKWO, JOHN CHIMA (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:CHIMA
Last Name:NWANKWO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 5010
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58702-5010
Mailing Address - Country:US
Mailing Address - Phone:701-857-5650
Mailing Address - Fax:701-857-5031
Practice Address - Street 1:#1 BURDICK EXPY. W.
Practice Address - Street 2:
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58701-4406
Practice Address - Country:US
Practice Address - Phone:701-857-5124
Practice Address - Fax:701-857-3264
Is Sole Proprietor?:No
Enumeration Date:2011-04-12
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NDPT 13574207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology