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NPI Code Detail

MEDICARE: DR. OLUSOJI OYESANYA M.D

MEDICARE:  DR. OLUSOJI  OYESANYA  M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician30809WI
2208D00000XGeneral Practice Physician30809WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730132341
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. OLUSOJI OYESANYA M.D
Provider Business Mailing Address
First Line : 6001 W CENTER ST
Second Line : SUITE 102
City : MILWAUKEE
State : WI
Zip : 53210-2154
Country : US
Telephone Number : 414-444-4484
Fax Number : 414-444-4838
Provider Business Practice Location Address
First Line : 6001 W CENTER ST
Second Line : SUITE 102
City : MILWAUKEE
State : WI
Zip : 53210-2154
Country : US
Telephone Number : 414-444-4484
Fax Number : 414-444-4838
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2006
Last Update Date : 02/20/2008

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Directions to “ DR. OLUSOJI OYESANYA M.D” Practice Location

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