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Search › Wisconsin › 122300000X

Nana Owusu

NPI 1487387437 · on the registry since 2022 · sole proprietor

Practice

Address
400 Lake Ave
Racine, WI 53403
Phone
(262) 633-0775
Organisation at this address
911 Dental Group
Lake Dental Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
122300000X
122300000X
Also registered as
122300000X
Licence states on file
MN, WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-03-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin