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Organization
MERCYLAND PSYCHIATRY INC
Active
Organization
MERCYLAND PSYCHIATRY INC
Active
Other names
Mercyland Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADEBOWALE MOFIKOYA MD (MEDICAL DIRECTOR)
(802) 399-9114
Entity
Organization
Contact information
Practice address
530 W MAIN ST, SUN PRAIRIE, WI 53590-3219
(802) 399-9114
(608) 318-2789
Mailing address
530 W MAIN ST, SUN PRAIRIE, WI 53590-3219
(802) 399-9114
(608) 318-2789
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
60574-20
WI
Other
Enumeration date
03/15/2018
Last updated
05/07/2018
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