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Individual
GABRIEL BOLADELE ROSANWO
Active
Individual
GABRIEL BOLADELE ROSANWO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01080180A
IN
207Q00000X
Family Medicine Physician
036104578
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
01080180A
IN
207V00000X
Obstetrics & Gynecology Physician
Primary
036104578
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0053655
—
OH
05
—
300012787
—
IN
Enumeration date
12/13/2005
Last updated
07/08/2026
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