IndividualActive
Olaoluwa Bode-Omoleye, MD
NPI 1073958906 · Anatomic Pathology Physician · Pleasant Prairie, WI
Provider details
- NPI number
- 1073958906
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036149602 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Dermatopathology (Pathology) Physician207ZD0900X
Practice location
7809 100th St
Pleasant Prairie, WI 53158-2806
Phone: (262) 345-2358
Fax: (262) 912-0137
Approximate (ZIP-level) locationGet directions
Mailing address
801 York St
Manitowoc, WI 54220-4630
Additional practice locations (1)
- 840 S Wood St.Rm 130csn, Mc 847Chicago, IL 60612-4325Phone: (312) 996-7312
Registry dates
- Enumerated
- 2013-05-06
- Last updated
- 2025-09-14
- Certified
- 2025-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.