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Individual

DR. FUNKE ADEFOPE WISHKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
12303 NE 130TH LN, KIRKLAND, WA 98034-3099
(425) 544-1000
(425) 544-1001
Mailing address
3612 216TH DR SW, BRIER, WA 98036-8096
(470) 214-3374

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD61283257
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LL3299
NEVADA STATE BOARD OF MEDICAL EXAMINERS
NV
Enumeration date
08/13/2018
Last updated
11/17/2022
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