Individual
DAMILOLA I BABALOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4000 WELLNESS DR, MIDLAND, MI 48670-2000
(989) 839-1644
(989) 839-3029
Mailing address
4000 WELLNESS DRIVE, MIDLAND, MI 48670
(989) 839-1644
(989) 839-3029
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301111638
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/19/2014
Last updated
07/28/2017
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