Individual
DR. BOLANLE ADEOLA ADEPOJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 HIGH PARK AVE, GOSHEN, IN 46526-4810
(574) 364-2888
Mailing address
200 HIGH PARK AVE, GOSHEN, IN 46526-4810
(574) 364-2888
(574) 364-2590
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01073993
IN
207RX0202X
Medical Oncology Physician
Primary
01073993
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300037888
—
IN
Enumeration date
03/18/2011
Last updated
08/08/2023
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