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NPI Verification

National Provider Identifier: 1619311586

Olusola Olasupo Adegoke, MD Mph

Individual Provider

Credentials

MD MPH

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (2)

Family Medicine

Code: 207Q00000X

Primary

Family Medicine

Code: 207Q00000X

Practice Address

15290 PENNOCK LN

APPLE VALLEY, MN 551247163

Phone: 952-853-8800

NPI Enumeration Date

April 23, 2013

NPI Number

1619311586

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