| Doctor Name: | BABATUNDE A OLUMIDE |
| NPI Number: | 1689771875 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 10027 |
| Business Practice Address: | 800 3rd Ave Sw Rugby, ND - 583681645 |
| Business Phone Number: | 7017765235 |
| Business Fax Number: | 7017765297 |
| Mailing Address: | 800 3rd Ave Sw, RUGBY |
| State: | ND |
| Postal Code: | 583681645 |
| Phone Number: | 7017765235 |
| Fax Number: | 7017765297 |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 03/05/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | 10027 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ND |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |