Dr Ifeloluwa A Olutola, MD | |
325 Butts Ave, Tomah, WI 54660-1412 | |
(608) 785-0940 | |
Not Available |
Full Name | Dr Ifeloluwa A Olutola |
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Gender | Female |
Speciality | Family Medicine |
Location | 325 Butts Ave, Tomah, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1467065748 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | TRN31904 (Florida) | Secondary |
207Q00000X | Family Medicine | 81543 (Wisconsin) | Primary |
Entity Name | Mayo Clinic Health System-southwest Wisconsin Region Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629056049 PECOS PAC ID: 0345152443 Enrollment ID: O20031110000684 |
Entity Name | Tomah Memorial Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992970453 PECOS PAC ID: 6901897016 Enrollment ID: O20040519000123 |
Mailing Address | Practice Location Address |
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Dr Ifeloluwa A Olutola, MD 200 1st St Sw, Rochester, MN 55905-0001 Ph: (608) 785-0940 | Dr Ifeloluwa A Olutola, MD 325 Butts Ave, Tomah, WI 54660-1412 Ph: (608) 785-0940 |
Dr. Kyle Christian Thomas, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 Butts Ave, Tomah, WI 54660 Phone: 608-372-5951 | |
Sharel A Martin, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 325 Butts Ave, Tomah, WI 54660 Phone: 608-372-5951 Fax: 608-372-3436 | |
Dr. Rachel A Teske, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 500 E Veterans St, Tomah, WI 54660 Phone: 608-372-3971 Fax: 608-372-1249 | |
Karyn Cecele, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 Butts Ave, Tomah, WI 54660 Phone: 608-372-5999 | |
George C Xakellis Jr., M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 500 East Veteran Street, Tomah, WI 54660 Phone: 608-372-1792 | |
April Ann Lassa, APNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 E Veterans St, Tomah, WI 54660 Phone: 608-372-1239 | |
Ralph H Knudson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1330 N Superior Ave, Tomah, WI 54660 Phone: 608-372-4111 |