Dr ADETAYO ADEMUYIWA MD is a male medical professional, specializing in Pulmonary Disease. He graduated in from Indiana University School Of Medicine.
1101 W LIBERTY
SUITE 430
FARMINGTON
MO
636401921
Tel:
| Npi | 1407944911 |
| Pac Id | 8022033802 |
| Professional Enrollment Id | I20111115000028 |
| Last Name | ADEMUYIWA |
| First Name | ADETAYO |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | |
| Primary Specialty | PULMONARY DISEASE |
| Secondary Specialty 1 | CRITICAL CARE (INTENSIVISTS) |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | CRITICAL CARE (INTENSIVISTS) |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 1101 W LIBERTY |
| Line 2 Street Address | SUITE 430 |
| Marker Of Address Line 2 Suppression | |
| City | FARMINGTON |
| State | MO |
| Zip Code | 636401921 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 260023 |
| Hospital Affiliation Lbn 1 | MERCY HOSPITAL JEFFERSON |
| Hospital Affiliation Ccn 2 | 260163 |
| Hospital Affiliation Lbn 2 | PARKLAND HEALTH CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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