Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 2301 | WI |
NPI | 1003934993 |
---|---|
Provider Name | Dr. Adebayo Yusuf |
First Address | Milwaukee, WI 53216-1200 |
Second Address | Milwaukee, WI 53216-1200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2007 |
Last Update Date | 08/07/2007 |