Oladepo Collins Fasoranti MBBS

NPI 1003939968 - Family Medicine - 207Q00000X

NPI Details
NPI 1003939968
Gender Male
Enumeration Date 04/07/2007
Last Updated 12/05/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
11475 ROBINSON DRIVE NW - MAILSTOP 32600A
HEALTHPARTNERS COON RAPIDS CLINIC
COON RAPIDS MN, 55433-3746, US
Phone (763) 587-9000
Fax (763) 587-9130
Business Location
8170 33RD AVE S
MS21110Q
MINNEAPOLIS MN, 55425-4516, US
Phone (952) 883-5375
Fax (763) 587-9130
Toxanomy
Taxonomy Code 207Q00000X
License State Georgia
License Number 001220
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According to our database, Dr. Oladepo Collins Fasoranti MBBS NPI is 1003939968, taxonomy code is 207Q00000X and license number is 001220, license state is located at Georgia. Oladepo Collins Fasoranti MBBS physically located at 11475 Robinson Drive Nw - Mailstop 32600a, Coon Rapids MN, 55433-3746. NPI Number Oladepo Collins Fasoranti MBBS has the Individual type.

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1003939968 NPI number is provided on an as is basis without warranty of any kind. 1003939968 is maintained by the National Plan & Provider Enumeration System. The contents of Oladepo Collins Fasoranti MBBS are for informational purposes only.