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NPI Verification

National Provider Identifier: 1972867661

Efesomwan Aisien, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Internal Medicine, Gastroenterology

Code: 207RG0100X

All Specialties (2)

Internal Medicine, Gastroenterology

Code: 207RG0100X

Primary

Internal Medicine

Code: 207R00000X

Practice Address

11104 PARKVIEW CIRCLE DR STE 310

FORT WAYNE, IN 46845

Phone: 260-266-5230

NPI Enumeration Date

June 27, 2012

NPI Number

1972867661

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry