EFESOMWAN AISIEN

FORT WAYNE, IN
NPI1972867661
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RG0100X Internal Medicine, Gastroenterology
(Licence: IN  01082288A)
Additional Taxonomies207R00000X Internal Medicine
(Licence: IL  125061360)
Enumeration Date2012-06-27
Last Update Date2023-05-31
Business Address
Dr. EFESOMWAN AISIEN M.D.
11104 PARKVIEW CIRCLE DR STE 310
FORT WAYNE, IN 46845
Phone number: 260-266-5230
Mailing Address
Dr. EFESOMWAN AISIEN M.D.
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: