Organization
CENTER FOR ADOLESCENT AND CHILD NEUROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLUFEMI OLUSEUN SOYODE M.D. (OWNER)
(616) 294-0010
Entity
Organization
Contact information
Practice address
422 PLYMOUTH AVE NE, GRAND RAPIDS, MI 49505-6028
(616) 294-0010
Mailing address
422 PLYMOUTH AVE NE, GRAND RAPIDS, MI 49505-6028
(616) 294-0010
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
—
—
Other
Enumeration date
04/21/2014
Last updated
02/17/2015
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