Individual provider · NPI-1

Olumuyiwa Tolulope Sowunmi

Internal Medicine · Elyria, OH

NPI number1235454414
StatusActive
Last updated in NPPESJul 7, 2013

Details

NPI
1235454414
Entity type
Individual (NPI-1)
Name
Olumuyiwa Tolulope Sowunmi
Sex
Male
Sole proprietor
No
Enumeration date
Mar 31, 2010
Last updated
Jul 7, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine35.121593OHYes
390200000X Student in an Organized Health Care Education/Training Program––
208M00000X Hospitalist35.121593OH

Practice location

630 E River St
Elyria, OH 44035-5902

Phone 440-542-5025

Mailing address

630 E River St
Elyria, OH 44035-5902

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