SEIDU JOAMANCHE MAHAMA

EAU CLAIRE, WI
NPI1043951536
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WI  9532)
Enumeration Date2022-04-06
Last Update Date2022-06-23
Business Address
SEIDU JOAMANCHE MAHAMA
1400 BELLINGER ST
EAU CLAIRE, WI 54703-5222
Phone number: 219-798-1371
Mailing Address
SEIDU JOAMANCHE MAHAMA
200 1ST ST SW
ROCHESTER, MN 55905-0001
Phone number: 715-838-5222