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

Oluwaseun Ogunsuyi Oguntomole

Individual provider Family Medicine Physician · NPI 1356145072

Oluwaseun Ogunsuyi Oguntomole is a Family Medicine Physician in Jackson, Michigan. Licensed in Michigan. Registered with an NPI since 2025.

Licensed in
MI
In the registry since
2025

Practice location Address checks out

205 N East Ave
Jackson, MI 49201-1753
Phone: (517) 205-3998
Fax: (517) 205-7050
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4351054019 (MI)

Record details

NPI number1356145072
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 2, 2025
Last updated in NPPESApril 2, 2025
Certification dateApril 2, 2025
Mailing address1630 Wells Branch Pkwy Apt 1335, Austin, TX 78728-7173

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