Omotola Michael Adesina, M.D.
Individual provider Active NPI Family Medicine Physician · Lansing, MI
NPI 1275217622 · NPPES record last updated Dec 15, 2023
Key facts
- NPI
- 1275217622
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 4351050593 (MI)
- Practice address
- Sparrow Health Systems 1215 E Michigan Ave
Lansing, MI 18912 - Phone
- (517) 364-5710
- NPI assigned
- Jun 14, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4351050593 | MI | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4351050593 | MI | Yes |
Addresses
Primary practice location
Sparrow Health Systems 1215 E Michigan Ave
Lansing, MI 18912
Mailing address
1200 E Michigan Ave
Suite 245
Lansing, MI 48912
Other providers in Lansing, MI
- Michelle Anne Adams
- Rosetta Adams
- Suzanne Marie Adcock
- Catherine Addy
- Joel Adelsberg
- Shreeya Adhikari
- Jack David Adkins
- Clorisa Kimber Adleman
- Sarah Anne Adler
- Adored Hands Solutions LLC
All providers in Lansing, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.