Individual
MICHELLE RAISSA KOBOU WAFO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
749 UNIVERSITY ROW STE 200, MADISON, WI 53705-1465
(608) 263-6400
Mailing address
749 UNIVERSITY ROW STE 200, MADISON, WI 53705-1465
(608) 263-6400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
85949-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/25/2023
Last updated
07/09/2025
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