Individual
OLUFEMI OKUNEYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6300 WEDGEWOOD RD N, MAPLE GROVE, MN 55311-3647
(763) 551-1215
Mailing address
7628 ZANE AVE N, BROOKLYN PARK, MN 55443-3151
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-4949
MN
Other
Enumeration date
02/20/2017
Last updated
02/20/2017
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