Individual
DR. PAUL OLUWATOYIN ODUSANYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5488-20
WI
208M00000X
Hospitalist Physician
54880-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100012065
—
WI
Enumeration date
09/02/2010
Last updated
11/22/2021
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