IndividualActive
Jude Igboanusi
NPI 1770112807 · Emergency Medicine Physician · Fargo, ND
Provider details
- NPI number
- 1770112807
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
5225 23rd Ave S
Fargo, ND 58104-7927
Phone: (701) 417-2575
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 5074
Sioux Falls, SD 57117-5074
Additional practice locations (1)
- 45 Reade PlPoughkeepsie, NY 12601-3947Phone: (845) 790-2085
Registry dates
- Enumerated
- 2020-04-01
- Last updated
- 2023-07-28
- Certified
- 2023-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.