Doctor Name: | OYETUNDE O SIYANBADE |
NPI Number: | 1003980475 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 9913 |
Business Practice Address: | 3000 32nd Ave S Fargo, ND - 581036132 |
Business Phone Number: | 7013648000 |
Business Fax Number: | 7013648078 |
Mailing Address: | Po Box 6001, FARGO |
State: | ND |
Postal Code: | 581086001 |
Phone Number: | 7013648000 |
Fax Number: | 7013648078 |
NPI Enumeration Date: | 11/20/2006 |
NPI Last Update Date: | 03/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0129X |
License Number: | 9913 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ND |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Vascular Surgery |
Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |