Individual
OLUSEYI O FASHUSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8325 CITY CENTRE DR, WOODBURY, MN 55125-3323
(651) 731-0859
(651) 731-0976
Mailing address
1026 7TH ST W, SAINT PAUL, MN 55102-3828
(651) 758-9800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13225
MN
Other
Enumeration date
04/05/2019
Last updated
01/14/2025
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