Ogenetega Jeremiah Madedor, MD is a student in an organized health care education training program in Grand Rapids, MI. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Ogenetega Jeremiah Madedor, MD NPI is 1326677055. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
25 MICHIGAN ST NE STE 2100
GRAND RAPIDS, MI
ZIP 49503-526
Phone: (616) 391-3777
Fax: (616) 391-3775
The NPI 1326677055 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 4/4/2020 and was last updated on 4/4/2020.