Individual
AYODEJI OLUSILE ROSANWO
Active
Individual
AYODEJI OLUSILE ROSANWO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2014-01481
NC
207QG0300X
Geriatric Medicine (Family Medicine) Physician
01043372A
IN
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
2014-01481
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902862360
—
NC
05
—
200314410
—
IN
05
—
NC2346
—
SC
Enumeration date
04/25/2006
Last updated
02/24/2017
Update your record
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