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Individual

OLABOLA AWOSIKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
37605 PEMBROKE AVE, LIVONIA, MI 48152-1050
(834) 591-7931
(734) 464-0335
Mailing address
5141 VIRGINIA WAY STE 350, BRENTWOOD, TN 37027-2319
(855) 744-8554
(630) 495-1770

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301505497
MI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/24/2015
Last updated
11/15/2021
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