Olukemi Ajibola

NPI #1285021121 in Mequon, Wisconsin

Provider Information

NPI Number: 1285021121
Entity Type: Individual
Name: Olukemi Ajibola
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Apr 17, 2015
Last Updated: Jun 23, 2023

Practice Location

Address: 10600 N PORT WASHINGTON RD STE 200
City: Mequon
State: Wisconsin
ZIP Code: 53092-5084
Phone: (262) 240-3100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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