Individual
DR. AYESAN REWANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3201 SPRINGHILL DR STE 100, NORTH LITTLE ROCK, AR 72117-2905
(501) 955-4530
Mailing address
6424 N RIDGE BLVD APT 1D, CHICAGO, IL 60626-4831
(240) 716-9552
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
70889
TN
Other
Enumeration date
04/01/2021
Last updated
09/18/2024
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