Provider Demographics
NPI:1255695888
Name:OYINLOYE, GBOLAHAN DAMILOLA (MD, MHS)
Entity type:Individual
Prefix:DR
First Name:GBOLAHAN
Middle Name:DAMILOLA
Last Name:OYINLOYE
Suffix:
Gender:
Credentials:MD, MHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 N MORRISON ST STE 100
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54911-5404
Mailing Address - Country:US
Mailing Address - Phone:262-933-1290
Mailing Address - Fax:
Practice Address - Street 1:2500 E CAPITOL DR
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54911-8735
Practice Address - Country:US
Practice Address - Phone:920-720-2300
Practice Address - Fax:920-720-3719
Is Sole Proprietor?:No
Enumeration Date:2012-06-28
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI61-19284207LA0401X
MO20120182972084P0800X
WI664972084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No207LA0401XAllopathic & Osteopathic PhysiciansAnesthesiologyAddiction Medicine