DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. OLUSANJO OLAOLUWA ADEOYE, MD, MBA

Active Sole Proprietor

DR. OLUSANJO OLAOLUWA ADEOYE, MD, MBA is a Adult Reconstructive Orthopaedic Surgery healthcare provider located in GRAND RAPIDS, Michigan. NPI 1477716348 is currently active in the NPPES registry. Verify at CMS.

Adult Reconstructive Orthopaedic Surgery · GRAND RAPIDS, MI

Registration Details

NPI Number
1477716348
Provider Type
Individual
Gender
Male
NPI Issued
Jul 9, 2008 (18.067635297454 yrs)
Last Updated
Feb 8, 2017
Licenses
4301104001 (MI)
4301104001 (MI)
Sole Proprietor
Yes

Practice Information

Address
4100 LAKE DR SE
SUITE 300
GRAND RAPIDS, MI, 495468292
Browse MI providers · Browse ZIP 49546
Phone
6162678860
Fax
6162678442
Primary Specialty
Adult Reconstructive Orthopaedic Surgery
207XX0005X
Additional Specialty
Orthopaedic Surgery

Other Adult Reconstructive Orthopaedic Surgery Providers in GRAND RAPIDS, MI

Name Credential NPI
THOMAS M MATELIC MD 1700873874
MICHAEL R JABARA MD 1306833462
PETER C THEUT MD 1720076219
ERIK HEDLUND DO 1104864560
JAMES R LEBOLT DO 1245331941
CARL WIERKS M.D. 1215075106
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.