Provider Demographics
NPI:1457100885
Name:OYEWO, MUSBAU OYETUNJI
Entity type:Individual
Prefix:
First Name:MUSBAU
Middle Name:OYETUNJI
Last Name:OYEWO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:787 E WILBETH RD APT 12
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44306-3470
Mailing Address - Country:US
Mailing Address - Phone:330-858-2394
Mailing Address - Fax:
Practice Address - Street 1:787 E WILBETH RD APT 12
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44306-3470
Practice Address - Country:US
Practice Address - Phone:330-858-2394
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-17
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care