HomeNPI Verification

NPI Verification

National Provider Identifier: 1568621209

Modupeola Olufunmilayo Adewunmi, M.d

Individual Provider

Credentials

M.D

Primary Specialty

Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine

Code: 2083P0500X

All Specialties (3)

Family Medicine

Code: 207Q00000X

Family Medicine

Code: 207Q00000X

Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine

Code: 2083P0500X

Primary

Practice Address

640 JACKSON ST

SAINT PAUL, MN 551012502

Phone: 651-293-8269

NPI Enumeration Date

June 7, 2008

NPI Number

1568621209

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry