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Individual

SUNDAY O OSUNNUGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
615 N MICHIGAN ST 1ST FL HOSPITALIST STE, SOUTH BEND, IN 46601-1033
(574) 647-3050
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01060099A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000612791
BCBS
IN
05
200525030
IN
Enumeration date
05/12/2006
Last updated
04/28/2023
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