Individual
CLEMENT ADEDEJO OGUNWANDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1800 N. BROOM STREET, SUITE 109, WILMINGTON, DE 19802
(302) 762-4545
(302) 762-9086
Mailing address
1800 N. BROOM STREET, SUITE 109, WILMINGTON, DE 19802
(302) 762-4545
(302) 762-9086
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
C2-0004996
DE
207Q00000X
Family Medicine Physician
Primary
C20004996
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000981603
—
DE
Enumeration date
10/02/2006
Last updated
12/22/2010
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