| Doctor Name: | DR. SAINT VICTOR OKONMA |
| NPI Number: | 1396032405 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D |
| License Number: | 59931-20 |
| Business Practice Address: | 544 E Ogden Ave Suite 700 - 134 Milwaukee, WI - 532022698 |
| Business Phone Number: | 2627246867 |
| Business Fax Number: | |
| Mailing Address: | 544 E Ogden Ave, Suite 700 - 134 MILWAUKEE |
| State: | WI |
| Postal Code: | 532022698 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/09/2011 |
| NPI Last Update Date: | 10/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 59931-20 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |