Healthcare Provider Details

I. General information

NPI: 1629997424
Provider Name (Legal Business Name): MAAME ABOKUMA ABAIDOO MBCHB
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MEDICAL COLLEGE OF WISCONSIN AFFILIATED HOSPITALS INC. 8701 WATERTOWN PLANK RD
MILWAUKEE WI
53226
US

IV. Provider business mailing address

MEDICAL COLLEGE OF WISCONSIN AFFILIATED HOSPITALS INC. 8701 WATERTOWN PLANK RD ATTN: MEG DYER
MILWAUKEE WI
53226
US

V. Phone/Fax

Practice location:
  • Phone: 414-266-6800
  • Fax:
Mailing address:
  • Phone: 414-266-6800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: