Individual
OKENSAMA LA-ANYANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
749 UNIVERSITY ROW STE 200, MADISON, WI 53705-1465
(608) 263-0572
Mailing address
749 UNIVERSITY ROW STE 200, MADISON, WI 53705-1465
(608) 263-0572
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
101163
WI
Other
Enumeration date
03/06/2023
Last updated
07/12/2024
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