Organization
ALPHA MEDICAL CLINIC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLUSOJI OYESANYA MD (PRESIDENT)
(414) 444-4484
Entity
Organization
Contact information
Practice address
6001 W CENTER ST, SUITE 102, MILWAUKEE, WI 53210-2154
(414) 444-4484
Mailing address
6001 W CENTER ST, SUITE 102, MILWAUKEE, WI 53210-2154
(414) 444-4484
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
30809
WI
Other
Enumeration date
09/22/2006
Last updated
10/05/2007
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