Active NPIIndividual providerSole proprietor

Adewale O Odofin, MD

Internal Medicine in Saint Cloud, Minnesota

NPI Number1972955375
Practice location
1406 6TH Ave N, Saint Cloud, MN 56303-1900
Fax
—
Last updated
April 25, 2025

Adewale O Odofin is an Internal Medicine based in Saint Cloud, MN. Adewale O Odofin practices in Saint Cloud, MN and has the professional credentials of MD. The NPI Number for Adewale O Odofin is 1972955375 and holds a License No. 64754 (MN). The current practice location address for Adewale O Odofin is 1406 6TH Ave N, Saint Cloud, MN 56303-1900 and can be reached out via phone at 203-545-4500.

Provider Profile Details

NPI Number
1972955375
Provider Name
Adewale O Odofin
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1406 6TH Ave N, Saint Cloud, MN 56303-1900
Phone Number
203-545-4500
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 8, 2016
Last Update Date
April 25, 2025
Certification Date
April 25, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1406 6TH Ave N
Saint Cloud, MN 56303-1900
Zip
56303-1900
Phone Number
203-545-4500
Saint Cloud, MN 56303Get directions →

Provider Business Mailing Address Details

Address
2800 Main St
Bridgeport, CT 06606-4201
City
Bridgeport
State
CT
Zip
06606-4201

License Information

License Number
64754
License State
MN
Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Adewale O Odofin, MD?

The NPI number of Adewale O Odofin, MD is 1972955375. It was assigned on July 8, 2016 and is currently active in the NPPES registry.

What is the specialty of Adewale O Odofin, MD?

Adewale O Odofin, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MN under license number 64754.

Where does Adewale O Odofin, MD practice?

The practice location is 1406 6TH Ave N, Saint Cloud, MN 56303-1900. The office can be reached at 203-545-4500 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1972955375 directly on the NPPES registry website.

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