Organization
DOCTOR'S HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADEPERO OLUFUNMILAYO OKULAJA MD (OWNER)
(612) 836-9412
Entity
Organization
Contact information
Practice address
6565 FRANCE AVE S STE 350, EDINA, MN 55435-2137
(612) 836-9412
Mailing address
6565 FRANCE AVE S # 350, EDINA, MN 55435-2137
(215) 668-7199
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
49342
MN
Other
Enumeration date
11/13/2017
Last updated
12/29/2017
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