Individual
DR. ADEKOYEJO B ADENUGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301068655
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03774
PARAMOUNT HEALTHCARE
MI
01
—
0461056
BCBS
MI
01
—
101149
GREAT LAKES HEALTH PLAN
MI
05
—
4843556
—
MI
01
—
5697
HEALTH PLAN OF MICHIGAN
MI
01
—
6862713
CIGNA
MI
01
—
7000339381
PRIORITY HEALTH CARE
MI
Enumeration date
09/23/2008
Last updated
09/23/2008
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