Individual
ADEFUNKE ADEDIPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3600 KOLBE RD STE 227, LORAIN, OH 44053
(440) 960-3304
(440) 960-4733
Mailing address
578 N LEAVITT RD, AMHERST, OH 44001-1131
(440) 988-1009
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.133536
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0301107
—
OH
Enumeration date
04/12/2015
Last updated
11/23/2018
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