Individual
OLUSEYE AKEEM ADENUSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6609 HILLSBORO AVE N, BROOKLYN PARK, MN 55428-1862
(763) 447-8927
Mailing address
6609 HILLSBORO AVE N, BROOKLYN PARK, MN 55428-1862
(763) 447-8927
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
E845001835017
MN
Other
Enumeration date
03/01/2019
Last updated
03/01/2019
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