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Individual

ABISOYE A ADEBAYO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2600 S HERITAGE WOODS DR, APPLETON, WI 54915-1408
(920) 225-7875
Mailing address
2600 S HERITAGE WOODS DR, APPLETON, WI 54915-1408
(920) 225-7875
(920) 993-5003

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
76012
WI
207Q00000X
Family Medicine Physician
R-10900
IA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
12183
GA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
76012
WI

Other

Enumeration date
06/22/2017
Last updated
11/09/2021
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