Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Olawale Olanisa, MD

Individual provider Behavior Technician · NPI 1538711015

Olawale Olanisa, MD is a Behavior Technician in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2019.

Licensed in
MI
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

300 Lafayette Ave SE Ste 3000
Grand Rapids, MI 49503-4692
Phone: (616) 685-6919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 4351049060 (MI)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1538711015
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 15, 2019
Last updated in NPPESApril 5, 2022
Certification dateApril 5, 2022

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