MICHAEL OLUSEGUN ESAN M.D PH. D NPI 1538504139

NPI Information

Michael Olusegun Esan, M.D, PH. D is a pediatric emergency medicine pediatrics in Minneapolis, MN. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. Michael Olusegun Esan, M.D, PH. D NPI is 1538504139. 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:

2450 RIVERSIDE AVE
DEPARTMENT OF PEDIATRICS, M-136 RIVERSIDE EAST BUILDING
MINNEAPOLIS, MN
ZIP 55454-450
Phone: (612) 624-4477
Fax: (612) 626-7042

The NPI 1538504139 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 5/8/2013 and was last updated on 3/24/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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