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Individual

DR. OLUSOJI OYESANYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
6001 W CENTER ST, SUITE 102, MILWAUKEE, WI 53210-2154
(414) 444-4484
(414) 444-4838
Mailing address
6001 W CENTER ST, SUITE 102, MILWAUKEE, WI 53210-2154
(414) 444-4484
(414) 444-4838

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30809
WI
208D00000X
General Practice Physician
30809
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31592300
WI
Enumeration date
05/18/2006
Last updated
02/20/2008
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