Individual provider · Type 1 NPI

Samuel Olasoji Ajagbonna, MD

Student in an Organized Health Care Education/Training Program · Jackson, MI

NPI number 1942932553 Active

Practice location

205 N East Ave
Jackson, MI 49201-1753

Call (517) 205-3998 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X4351049713 (MI)

Student in an Organized Health Care Education/Training Program: 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.

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About NPI 1942932553

Samuel Olasoji Ajagbonna, MD's National Provider Identifier is 1942932553, issued on Jun 30, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jackson, MI. The record was last updated on Jun 30, 2022.