Individual
ADEOLA A JOLAYEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
257 W SAINT GEORGE AVE, GRANTSBURG, WI 54840-7827
(715) 463-5317
(715) 463-7335
Mailing address
257 W SAINT GEORGE AVE, GRANTSBURG, WI 54840-7827
(715) 463-5317
(715) 463-7335
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
52107
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093962466
—
MN
05
—
35363100
—
WI
Enumeration date
08/27/2008
Last updated
04/25/2024
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