Individual
DAVID OLATEJU OLADELE-BANKOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 N 7TH ST, BISMARCK, ND 58501-4436
(701) 323-5422
(701) 323-8645
Mailing address
603 LANSING AVE, JACKSON, MI 49202-3209
(517) 787-8371
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
430104282
MI
207RH0003X
Hematology & Oncology Physician
Primary
16017
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101591580
—
MI
01
—
P00155197
RR MEDICARE - WA FOOTE
MI
Enumeration date
04/26/2006
Last updated
10/21/2019
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