Provider Demographics
NPI:1932550415
Name:OYATOGUN, OLUWAFUNMILAYO OMOTOYOSI (MD)
Entity type:Individual
Prefix:DR
First Name:OLUWAFUNMILAYO
Middle Name:OMOTOYOSI
Last Name:OYATOGUN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:OLUWAFUNMILAYO
Other - Middle Name:OMOTOYOSI
Other - Last Name:OGUNREMI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:701 HEWITT BLVD
Mailing Address - Street 2:
Mailing Address - City:RED WING
Mailing Address - State:MN
Mailing Address - Zip Code:55066-2848
Mailing Address - Country:US
Mailing Address - Phone:651-267-5000
Mailing Address - Fax:
Practice Address - Street 1:701 HEWITT BLVD
Practice Address - Street 2:
Practice Address - City:RED WING
Practice Address - State:MN
Practice Address - Zip Code:55066-2848
Practice Address - Country:US
Practice Address - Phone:651-267-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-27
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN67536207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology