Individual
OLUBUKOLA IDOWU FATUROTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 HOUGHTON AVE, SAGINAW, MI 48602-5303
(989) 746-7500
Mailing address
1000 HOUGHTON AVE, SAGINAW, MI 48602-5303
(989) 746-7500
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301511200
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2021
Last updated
05/17/2024
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