FOLUSHO EVERTON OGUNFIDITIMI

DETROIT, MI
NPI1730389198
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: MI  5601003120)
Enumeration Date2007-07-23
Last Update Date2007-07-23
Business Address
Mr. FOLUSHO EVERTON OGUNFIDITIMI PA-C
HENRY FORD HEALTH SYSTEM 2799 WEST GRAND BLVD.
DETROIT, MI 48202
Phone number: 313-916-9971
Mailing Address
Mr. FOLUSHO EVERTON OGUNFIDITIMI PA-C
3334 GOAT FELL
ANN ARBOR, MI 48108-2087
Phone number: 313-916-9971
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