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Olukemi Ajibola
Physician Assistant in Mequon, Wisconsin
NPI 1285021121

Olukemi Ajibola is a Physician Assistant based in Menomonee Falls, WI. Olukemi Ajibola practices in Mequon, WI. The NPI Number for Olukemi Ajibola is 1285021121 and holds a License No. 52375 (Wisconsin).

The current practice location address for Olukemi Ajibola is 10600 N Port Washington Rd Ste 200, Mequon, WI and can be reached out via phone at 262-240-3100. You can also correspond with Olukemi Ajibola through the mailing address at N53W15851 CREEKWOOD XING, MENOMONEE FALLS, WI - 53051-0610 (mailing address contact number: 262-844-7757).

Location: 10600 N Port Washington Rd Ste 200, Mequon, WI, 53051-0610
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285021121
Provider Name
Olukemi Ajibola
Credential
Provider Entity Type
Individual
Gender
Female
Address
10600 N Port Washington Rd Ste 200, Mequon, WI, 53051-0610
Phone Number
262-240-3100
Fax Number
Provider Enumeration Date
04/17/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100227402 05 WI
institution
Provider Business Practice Location Address Details
Address
10600 N Port Washington Rd Ste 200
City
Mequon
State
Wisconsin
Zip
53092-5084
Phone Number
262-240-3100
Fax Number
person
Provider Business Mailing Address Details
Address
N53W15851 Creekwood Xing
City
Menomonee Falls
State
Wisconsin
Zip
53051-0610
Phone Number
262-844-7757
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
7202-023 (Wisconsin)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
52375 (California)
Definition
Definition to come...
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