Individual
OLAYIWOLA R. ADETUNJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
1200 SIXTH AVE N, ST CLOUD, MN 56303-2735
(320) 251-2700
(320) 240-2118
Mailing address
1200 SIXTH AVE N, ST CLOUD, MN 56303-2735
(320) 251-2700
(320) 240-2118
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
46321
MN
208M00000X
Hospitalist Physician
Primary
46321
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0406311
MEDICA HEALTH PLANS
—
01
—
1040299
PREFERRED ONE
—
01
—
131162
U-CARE
—
05
—
1578552477
—
MN
01
—
2014147
ARAZ GROUP/AMERICA'S PPO
—
01
—
2157310
FIRST HEALTH PLAN
—
01
—
660903100
MEDICAL ASSISTANCE
—
05
—
660903100
—
MN
01
—
706S1AD
BLUE CROSS BLUE SHIELD
—
01
—
HP40371
HEALTH PARTNERS
—
01
—
P00081376
RR MEDICARE
—
Enumeration date
10/14/2005
Last updated
10/30/2015
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