Individual
DR. OLUFEMI O BANJOKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3850 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-5041
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
45922
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
948180000
—
MN
Enumeration date
12/27/2005
Last updated
06/17/2021
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