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Individual

DR. EFESOMWAN AISIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11104 PARKVIEW CIRCLE DR STE 310, FORT WAYNE, IN 46845
(260) 266-5230
(260) 266-5238
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125061360
IL
207RG0100X
Gastroenterology Physician
Primary
01082288A
IN

Other

Enumeration date
06/27/2012
Last updated
05/31/2023
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