Provider Demographics
NPI:1568582443
Name:JOSHUA, AYODEJI OLUWATOSIN (MD)
Entity Type:Individual
Prefix:DR
First Name:AYODEJI
Middle Name:OLUWATOSIN
Last Name:JOSHUA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4401 N CAMPUS RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640-6112
Mailing Address - Country:US
Mailing Address - Phone:989-837-9400
Mailing Address - Fax:989-837-9410
Practice Address - Street 1:4401 CAMPUS RIDGE DR STE LL110
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-6126
Practice Address - Country:US
Practice Address - Phone:989-837-9400
Practice Address - Fax:989-837-9410
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
282NW0100X
MI4301094425207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No282NW0100XHospitalsGeneral Acute Care HospitalWomen