Individual
DR. ADEKUNLE OLUWATOSIN OBISESAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
625 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8240
(314) 251-6486
(314) 251-4155
Mailing address
625 S NEW BALLAS RD STE 7020, SAINT LOUIS, MO 63141-8218
(314) 251-6486
(314) 251-4155
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
2022012233
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164604138
—
MO
Enumeration date
12/03/2007
Last updated
07/06/2022
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