Dr. Olufemi O Banjoko
Geriatric Medicine
3850 Park Nicollet Blvd
St Louis Park
, Minnesota 55416-2527
Dr. Olufemi O Banjoko
Geriatric Medicine
3850 Park Nicollet Blvd
St Louis Park
, Minnesota 55416-2527
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About
Features
Specialties
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Olufemi O Banjoko
- 8170 33rd Ave S # Ms 21110q
- Bloomington, MN
- Zip : 55425-4516
- Phone :
Second Address
- Dr. Olufemi O Banjoko
- 3850 Park Nicollet Blvd
- St Louis Park, MN
- Zip : 55416-2527
- Phone : (952) 993-5041
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What type of doctor is Dr. Olufemi O Banjoko
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Is Dr. Olufemi O Banjoko a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0300X | Geriatric Medicine | 45922 | MN |
National Provider Identifier
| NPI | 1073590519 |
|---|---|
| Provider Name | Dr. Olufemi O Banjoko |
| First Address | Bloomington, MN 55425-4516 |
| Second Address | St Louis Park, MN 55416-2527 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/12/2005 |
| Last Update Date | 17/06/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 948180000 | (05) | MN |
| H95080 | (02) | MN |
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.