Individual
EBOSELUMHEN ISEGHOHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6408 COPPS AVE, MONONA, WI 53716-3702
(608) 417-3000
Mailing address
6408 COPPS AVE, MONONA, WI 53716-3702
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
81552-21
WI
207Q00000X
Family Medicine Physician
Primary
OT018537
PA
Other
Enumeration date
06/08/2018
Last updated
11/14/2024
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