Individual
AHMED DAMILOLA AYANTAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19460 GRAND RIVER AVE, DETROIT, MI 48223-1200
(313) 387-1097
Mailing address
19460 GRAND RIVER AVE, DETROIT, MI 48223-1200
(313) 899-8177
(313) 387-8795
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/03/2024
Last updated
04/04/2025
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