Organization
THE 4TH MAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUSHOLA MOSES ADEWOLE MD (PROVIDER)
(248) 897-6045
Entity
Organization
Contact information
Practice address
7241 MEMORIAL AVE, DETROIT, MI 48228-3518
(248) 897-6045
Mailing address
7241 MEMORIAL AVE, DETROIT, MI 48228-3518
(248) 897-6045
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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