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Organization
COUNTY OF INGHAM
Active
Organization
COUNTY OF INGHAM
Active
Other names
Willow Community ICHD, WILLOW ICHD
Organization subpart
No
Provider details
NPI number
Authorized official
ADENIKE TOLULUPE SHOYINKA MD (CREDENTIALING & ENROLLMENT COORDINA)
(517) 887-4466
Entity
Organization
Contact information
Practice address
1115 S PENNSYLVANIA AVE, LANSING, MI 48912-1669
(517) 702-3500
(517) 484-5169
Mailing address
PO BOX 30161, LANSING, MI 48909-7661
(517) 887-4383
(517) 244-7174
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/09/2015
Last updated
10/15/2025
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