Dr. Adekoyejo B Adenuga
Pediatrician
901 Kimole Ln Suite B2
Adrian
, Michigan 49221-1491
Dr. Adekoyejo B Adenuga
Pediatrician
901 Kimole Ln Suite B2
Adrian
, Michigan 49221-1491
(517) 263-1001
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Dr. Adekoyejo B Adenuga
- 901 Kimole Ln Suite B2
- Adrian, MI
- Zip : 49221-1491
- Fax : (517) 263-1001
- Phone : (517) 265-1981
Second Address
- Dr. Adekoyejo B Adenuga
- 901 Kimole Ln Suite B2
- Adrian, MI
- Zip : 49221-1491
- Fax : (517) 263-1001
- Phone : (517) 265-1981
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 4301068655 | MI |
National Provider Identifier
| NPI | 1003066440 |
|---|---|
| Provider Name | Dr. Adekoyejo B Adenuga |
| First Address | Adrian, MI 49221-1491 |
| Second Address | Adrian, MI 49221-1491 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/09/2008 |
| Last Update Date | 23/09/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 03774 | PARAMOUNT HEALTHCARE (01) | MI |
| 0461056 | BCBS (01) | MI |
| 101149 | GREAT LAKES HEALTH PLAN (01) | MI |
| 40441 | (02) | MI |
| 4843556 | (05) | MI |
| 5697 | HEALTH PLAN OF MICHIGAN (01) | MI |
| 6862713 | CIGNA (01) | MI |
| 7000339381 | PRIORITY HEALTH CARE (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.