Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Emmanuel Olusegun Odeyemi, MD

Individual provider Internal Medicine Physician · NPI 1346566460

Emmanuel Olusegun Odeyemi, MD is an Internal Medicine in Weston, Wisconsin. Qualified in 1998, 28 years ago. Practices with Divine Savior Healthcare Inc, a 132-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
28
Licensed in
WI
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3400 Ministry Pkwy
Weston, WI 54476-5220
Phone: (715) 393-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 54067 (WI)

Record details

NPI number1346566460
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 14, 2010
Last updated in NPPESApril 14, 2010
Mailing address3400 Ministry Pkwy, Weston, WI 54476-5220

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Divine Savior Healthcare Inc — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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