Individual
OLUDOTUN OLUBOBOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4675 N 76TH ST, LOWER, MILWAUKEE, WI 53218-4723
(414) 837-3134
Mailing address
4675 N 76TH ST, LOWER, MILWAUKEE, WI 53218-4723
(414) 837-3134
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
0203334
WI
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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