Individual
EDOGHOGHO ESOSA WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5702
(715) 387-5260
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5702
(715) 387-5260
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
100736-851
WI
Other
Enumeration date
03/25/2024
Last updated
06/13/2024
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