DR. Oladepo Collins Fasoranti, MBBS

NPI #1003939968 in Coon Rapids, Minnesota

Provider Information

NPI Number: 1003939968
Entity Type: Individual
Name: DR. Oladepo Collins Fasoranti, MBBS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MBBS
Enumeration Date: Apr 7, 2007
Last Updated: Dec 5, 2011

Practice Location

Address: 11475 ROBINSON DRIVE NW - MAILSTOP 32600A
Address 2: HEALTHPARTNERS COON RAPIDS CLINIC
City: Coon Rapids
State: Minnesota
ZIP Code: 55433-3746
Phone: (763) 587-9000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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