Individual
ADEOLA SARAH ADEWUSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-4242
Mailing address
4646 JOHN R ST, DETROIT, MI 48201-1916
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704287149
MI
363LG0600X
Gerontology Nurse Practitioner
Primary
4704287149
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704287149
REGISTERED NURSE
MI
Enumeration date
10/24/2022
Last updated
03/27/2026
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