Individual
DR. OLAGUOKE K AKINWANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12855 N 40 DR STE 205, SAINT LOUIS, MO 63141-8670
(314) 255-2204
(866) 623-8346
Mailing address
12855 N 40 DR STE 205, SAINT LOUIS, MO 63141-8670
(314) 225-2204
(866) 623-8346
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
2016010164
MO
2086S0129X
Vascular Surgery Physician
2016010164
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235362252
—
MO
05
—
ENROLLED
—
IL
Enumeration date
08/25/2009
Last updated
06/20/2022
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