Doctor Name: | MRS. GLORIA A ADJEKUM |
NPI Number: | 1548495534 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | 1000 South Columbia Road Mlk 17-110 Grand Forks, ND - 582066002 |
Business Phone Number: | 7017805000 |
Business Fax Number: | 2129394022 |
Mailing Address: | Po Box 6002, Mlk 17-110 GRAND FORKS |
State: | ND |
Postal Code: | 582066002 |
Phone Number: | 7017805000 |
Fax Number: | 2129394022 |
NPI Enumeration Date: | 05/20/2009 |
NPI Last Update Date: | 06/23/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |