Individual
DR. ORIMISAN SAMUEL ADEKOLUJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4100 BEECHER RD STE B, FLINT, MI 48532-3661
(810) 235-8568
(810) 235-4902
Mailing address
4100 BEECHER RD STE B, FLINT, MI 48532-3661
(810) 235-8568
(810) 235-4902
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301103980
MI
207RH0003X
Hematology & Oncology Physician
Primary
4301103980
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
796720542
DRIVER LICENSE
NY
Enumeration date
09/02/2012
Last updated
09/14/2022
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