Individual
ADEWALE O ODOFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
(203) 545-4500
Mailing address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
64754
MN
Other
Enumeration date
07/08/2016
Last updated
04/25/2025
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