Individual
OLUWATOBI EZEKIEL ODETOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
820 4TH ST N, FARGO, ND 58102-4539
(012) 346-1617
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-9419
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.069415
IL
207RH0003X
Hematology & Oncology Physician
125.069415
IL
207RH0003X
Hematology & Oncology Physician
Primary
PT21039
ND
Other
Enumeration date
08/04/2016
Last updated
07/25/2024
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