Individual
AYOBAMIDELE AYISAT TIAMIYU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
232 W 25TH ST, ERIE, PA 16544-5640
(814) 452-7605
Mailing address
232 W 25TH ST, ERIE, PA 16544-0002
(814) 452-7605
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD483464
PA
Other
Enumeration date
08/20/2021
Last updated
09/20/2024
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