Individual
MICHAEL OLUSEGUN ESAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D, PH. D
Contact information
Practice address
2450 RIVERSIDE AVE, DEPARTMENT OF PEDIATRICS, M-136 RIVERSIDE EAST BUILDING, MINNEAPOLIS, MN 55454-1450
(612) 624-4477
(612) 626-7042
Mailing address
2450 RIVERSIDE AVE, DEPARTMENT OF PEDIATRICS, M-136 RIVERSIDE EAST BUILDING, MINNEAPOLIS, MN 55454-1450
(612) 624-4477
(612) 626-7042
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
60204
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2013
Last updated
03/24/2022
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