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DR. AJIBOLA GEORGE AKINGBA M.D.

Vascular Surgery >> Surgery >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1689813479

Individual Registrant:
DR. AJIBOLA GEORGE AKINGBA M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
42855 GARFIELD RD STE 112  CLINTON TOWNSHIP, MI 48038-5027 US
Tel: (58-6) -228-3180  Fax: 586-228-3725

Contact information for business:
42855 GARFIELD RD STE 112  CLINTON TOWNSHIP, MI 48038-5027 US
Tel: (58-6) -228-3180  Fax: 586-228-3725

Registration Information:
NPI: 1689813479
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2086S0129XAllopathic & Osteopathic Physicians
Surgery
Vascular Surgery
MI4301090057
N2086S0129XAllopathic & Osteopathic Physicians
Surgery
IN01066712A

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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