Individual provider · NPI-1

Dr. Opeyemi M. Ajayi, M.D.

Family Medicine · Bismarck, ND

NPI number1740629351

StatusActive

Last updated in NPPESDec 3, 2018

Details

NPI: 1740629351
Entity type: Individual (NPI-1)
Name: Dr. Opeyemi M. Ajayi
Credential: M.D.
Sex: Male
Sole proprietor: No
Enumeration date: Jun 17, 2013
Last updated: Dec 3, 2018

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	14076	ND	Yes
208M00000X	Hospitalist	14076	ND
390200000X	Student in an Organized Health Care Education/Training Program	–	–

Practice location

900 E Broadway Ave
Bismarck, ND 58501-4520

Phone 701-530-7000

Mailing address

Po Box 997
Bismarck, ND 58502-0997

Phone 701-530-7000

Other practice locations

400 Burdick Expy E
Minot, ND 58701-4768

Phone 701-857-7817

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