Abisoye A Adebayo, MD
Family Medicine, Geriatric Medicine in Appleton, WI. Individual provider (NPI-1).
NPI number1942720727
StatusActive
Last updated in NPPESNov 9, 2021
Details
- NPI
- 1942720727
- Entity type
- Individual (NPI-1)
- Name
- Abisoye A Adebayo
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2017
- Certification date
- Nov 9, 2021
- Last updated
- Nov 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QG0300X | Family Medicine, Geriatric Medicine | 76012 | WI | Yes |
| 207Q00000X | Family Medicine | R-10900 | IA | |
| 207Q00000X | Family Medicine | 76012 | WI | |
| 207QG0300X | Family Medicine, Geriatric Medicine | 12183 | GA |
Practice location
2600 S Heritage Woods DrAppleton, WI 54915-1408
Phone 920-225-7875
Mailing address
2600 S Heritage Woods DrAppleton, WI 54915-1408
Phone 920-225-7875 · Fax 920-993-5003
Other practice locations
3780 Eisenhower Pkwy
Macon, GA 31206-0800
Macon, GA 31206-0800
Phone 478-633-5556 · Fax 478-784-5496
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