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Contact Information

ABISOYE A ADEBAYO, MD
2600 S HERITAGE WOODS DR
APPLETON, WI54915-1408
 Phone: 920-225-7875
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ABISOYE A ADEBAYO · (Female)

NPI # 1942720727
Status Active
Credentials MD
Entity Individual
Enumeration date 06/22/2017
Last updated 11/09/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 12183
  • IA License # R-10900
  • WI License # 76012
Hospital affiliation(s)
  • NEW LONDON FAMILY MED CTR - (Critical Access)
    1405 MILL ST
    NEW LONDON, WI 54961
  • THEDA CLARK MED CTR - (Acute Care)
    130 2ND ST
    NEENAH, WI 54956
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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