Most Relevant Information
Provider Data
| NPI Number: | 1003393695 |
| Provider Name: | CHARMAINE ADEGEYE |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 4704240600 |
Most Important Dates
| Enumeration Date: | 07/26/2018 |
| Last Updated: | 11/16/2023 |
Provider Practice Location
25240 LAHSER RD STE 2
SOUTHFIELD
MI
480332751
Practice Location Phone/Fax
| Phone: | 2485641367 |
| Fax: | 7347256746 |
Provider Mailing Location
45443 PARKDALE DR
CANTON
MI
481882437
Provider Mailing Phone/Fax
| Phone: | 2487953553 |
| Fax: |