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Individual

MR. ADEDAPO F OKUSANYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2500 W SILVER SPRING DR, GLENDALE, WI 53209-4218
(414) 800-7171
Mailing address
2500 W SILVER SPRING DRIVE, GLENDALE, WI 53209-4518
(414) 800-7171

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
48568020
WI
207Q00000X
Family Medicine Physician
Primary
48568020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34827900
WI
Enumeration date
04/18/2006
Last updated
06/07/2016
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