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Contact Information

EROMOSELE A OTOADESE, MD
1753 W RIDGEWAY AVE STE 111
WATERLOO, IA50701-4588
 Phone: 219-233-6211
 Fax: 319-233-2164
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for EROMOSELE A OTOADESE · (Male)

NPI Number 1013960129
Status Active
Credentials MD
Entity Individual
Enumeration date 05/18/2006
Last updated 04/29/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 28663
  • IA Medicaid 2091736
  • IA Other 421417307C4 JOHN DEERE HEALTH INS PLA
  • IA Other 46994 WELLMARK INS PLAN
Hospital affiliation(s)
  • ALLEN MEMORIAL HOSPITAL - (Acute Care)
    1825 LOGAN AVENUE
    WATERLOO, IA 50703
  • WAVERLY HEALTH CENTER - (Critical Access)
    312 9TH STREET SW
    WAVERLY, IA 50677
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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