Individual
EMMANUEL OLAWUSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081-3129
(920) 457-4461
Mailing address
2400 S AVENUE A, YUMA, AZ 85364-7127
(928) 344-2000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
81681
WI
208000000X
Pediatrics Physician
81765
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002366008
—
WI
Enumeration date
04/09/2020
Last updated
07/20/2026
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