Individual
DR. OLUFUNKE O AJAYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
CENTRACARE CLINIC ST CLOUD MEDICAL GROUP SOUTH, 1301 33RD ST S, SAINT CLOUD, MN 56301-9668
(320) 251-8181
(320) 257-1733
Mailing address
CENTRACARE CLINIC ST CLOUD MEDICAL GROUP SOUTH, 1301 33RD ST S, SAINT CLOUD, MN 56301-9668
(320) 251-8181
(320) 257-1733
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
63031
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/01/2015
Last updated
08/07/2018
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