Individual
DR. OLUMIDE ANUOLUWA OMIWADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBCHB
Contact information
Practice address
2251 N SHORE DR STE 100, RHINELANDER, WI 54501-6710
(713) 550-7718
Mailing address
2251 N SHORE DR STE 100, RHINELANDER, WI 54501-6710
(713) 550-7718
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
55799620
WI
Other
Enumeration date
06/30/2008
Last updated
09/18/2012
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