Individual
OLUMIDE EMMANUEL OLUWAROTIMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1641 S US HIGHWAY 231, CRAWFORDSVILLE, IN 47933-9421
(765) 307-7146
Mailing address
4196 HIGHWAY 62 412 STE A, HARDY, AR 72542-8002
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71016759A
IN
Other
Enumeration date
06/23/2025
Last updated
06/24/2025
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