Individual
DR. ONISURU T OKOTIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2525 W UNIVERSITY AVE, SUITE 504, MUNCIE, IN 47303-3421
(765) 289-7444
Mailing address
12109 COUNTY ROAD 103, OXFORD, FL 34484-2951
(352) 504-4623
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
36117948
IL
208800000X
Urology Physician
Primary
ME179394
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200993810
—
IN
01
—
M400021858
MEDICARE
IN
Enumeration date
08/06/2007
Last updated
03/12/2026
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