Individual
OLAITAN ATINUKE IJITIMEHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 W RIVER DR, DAVENPORT, IA 52801-1014
(563) 327-2035
Mailing address
500 W RIVER DR, DAVENPORT, IA 52801-1014
(563) 327-2035
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD-47083
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2017
Last updated
07/09/2020
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