Doctor Name: | OLUADE A. AJAYI |
NPI Number: | 1003898230 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MBBS |
License Number: | 45643 |
Business Practice Address: | 1200 Sixth Ave No Centracare Clinic St Cloud, MN - 563032735 |
Business Phone Number: | 3202525731 |
Business Fax Number: | |
Mailing Address: | 1200 Sixth Ave No, Centracare Clinic ST CLOUD |
State: | MN |
Postal Code: | 563032735 |
Phone Number: | 3202525731 |
Fax Number: | |
NPI Enumeration Date: | 11/15/2005 |
NPI Last Update Date: | 03/23/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2080A0000X |
License Number: | 45643 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |