Individual
SAMUEL OYEWOLE AJAYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8000
Mailing address
1702 UNIVERSITY DR S # SSC, FARGO, ND 58103-4940
(701) 364-8000
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
PT14513
ND
390200000X
Student in an Organized Health Care Education/Training Program
MT198709
PA
Other
Enumeration date
06/18/2011
Last updated
07/21/2022
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