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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