Basic Information
Provider Information
NPI: 1023365152
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AKPOIGBE
FirstName: EFE
MiddleName: MARCUS
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1506 S ONEIDA ST
Address2:  
City: APPLETON
State: WI
PostalCode: 549151305
CountryCode: US
TelephoneNumber: 9207382000
FaxNumber: 2178763665
Practice Location
Address1: 2300 N EDWARD ST STE 3200
Address2:  
City: DECATUR
State: IL
PostalCode: 625264163
CountryCode: US
TelephoneNumber: 2178763660
FaxNumber: 2178763665
Other Information
ProviderEnumerationDate: 08/08/2012
LastUpdateDate: 11/18/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/18/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000X65070WIY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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