Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 61861 | MN |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 61861 | MN |
NPI | 1043639370 |
---|---|
Provider Name | Dr. Adetola Ladejobi |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2014 |
Last Update Date | 06/08/2020 |