Individual
DR. ADEKOYEJO B ADENUGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 KIMOLE LN, SUITE B2, ADRIAN, MI 49221-1491
(517) 265-1981
(517) 263-1001
Mailing address
901 KIMOLE LN, SUITE B2, ADRIAN, MI 49221-1491
(517) 265-1981
(517) 263-1001
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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