Individual
ONIKEPO OMOTOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-6512
Mailing address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422-2926
(763) 581-3980
(763) 581-3591
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R177670-2
MN
Other
Enumeration date
08/08/2018
Last updated
07/27/2023
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