Individual
OLUFEMI O SOYODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
422 PLYMOUTH AVE NE, GRAND RAPIDS, MI 49505-6028
(616) 294-0010
(616) 828-1802
Mailing address
422 PLYMOUTH AVE NE, GRAND RAPIDS, MI 49505-6028
(616) 294-0010
(616) 828-1802
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
4301081420
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184735698
—
MI
Enumeration date
08/31/2006
Last updated
02/17/2015
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