Individual
DR. ADEBOWALE MOFIKOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
425 W MAIN ST STE 201, SUN PRAIRIE, WI 53590-2971
(608) 318-2233
Mailing address
425 W MAIN ST STE 201, SUN PRAIRIE, WI 53590-2971
(608) 318-2233
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
60574
WI
2084P0804X
Child & Adolescent Psychiatry Physician
60574
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100031050
—
WI
Enumeration date
06/20/2008
Last updated
01/05/2024
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