Individual
ANTHONIA ADETOLA OLAJIDE-KUKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7840 VINEWOOD LN N, MAPLE GROVE, MN 55369-7185
(763) 236-0200
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
42017
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
416327300
—
MN
Enumeration date
11/23/2005
Last updated
12/28/2016
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