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Individual

DR. ESEOGHENE AYISIRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MBCHB, MD

Contact information

Practice address
30 E APPLE ST STE NW3300, DAYTON, OH 45409-2939
(937) 208-8394
(937) 208-8388
Mailing address
136 S LUDLOW ST, # 1, DAYTON, OH 45402-1813
(216) 527-7665

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.125490
OH
208M00000X
Hospitalist Physician
21813
ND
208M00000X
Hospitalist Physician
Primary
35.125490
OH

Other

Enumeration date
07/10/2012
Last updated
11/25/2024
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