Individual
TOLUWANIMI A OYEDELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
810 S 6TH ST, MONTICELLO, IN 47960-8201
(765) 448-8000
(574) 583-9502
Mailing address
5177 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 838-7101
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01094062A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
815500684
MEDICARE PTAN
IN
Enumeration date
04/12/2021
Last updated
10/03/2024
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