Doctor Name: | DR. OLUSOJI OYESANYA |
NPI Number: | 1730132341 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D |
License Number: | 30809 |
Business Practice Address: | 6001 W Center St Suite 102 Milwaukee, WI - 532102154 |
Business Phone Number: | 4144444484 |
Business Fax Number: | 4144444838 |
Mailing Address: | 6001 W Center St, Suite 102 MILWAUKEE |
State: | WI |
Postal Code: | 532102154 |
Phone Number: | 4144444484 |
Fax Number: | 4144444838 |
NPI Enumeration Date: | 05/18/2006 |
NPI Last Update Date: | 02/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 30809 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |