Basic Information
Provider Information
NPI: 1902832041
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NWAIGWE
FirstName: CASMIAR
MiddleName: I
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 5010
Address2:  
City: MINOT
State: ND
PostalCode: 587025010
CountryCode: US
TelephoneNumber: 7018575650
FaxNumber: 7018575031
Practice Location
Address1: 400 BURDICK EXPY E
Address2:  
City: MINOT
State: ND
PostalCode: 587014768
CountryCode: US
TelephoneNumber: 7018577930
FaxNumber: 7018577998
Other Information
ProviderEnumerationDate: 06/23/2006
LastUpdateDate: 08/21/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RI0200X10703NDY Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease

No ID Information.


Home