Oyesanya, Olusoji

Oyesanya, Olusoji is an individual health care provider with primary practice located at 6001 W Center St Suite 102, Milwaukee WI 53210-2154. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Oyesanya, Olusoji can be contacted via phone (414) 444-4484.

Contact Information

Primary practice address
6001 W Center St Suite 102 Milwaukee WI 53210-2154
Phone: (414) 444-4484
Fax: (414) 444-4838
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 30809 Wisconsin
Allopathic & Osteopathic Physicians / General Practice 208D00000X 30809 Wisconsin

Profile Details

NPI number 1730132341
LBN Legal business name Oyesanya, Olusoji
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Feb 20th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730132341 NPPES
Wisconsin MEDICAID 31592300

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