Provider profile · NPI 1477716348
Olusanjo Olaoluwa Adeoye, MD, MBA
Orthopaedic Surgery, Sports Medicine · Grand Rapids, MI · NPI 1477716348 · No federal exclusion match
✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.
Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery, Sports Medicine
Enumerated
Jul 9, 2008
License(s)
4301104001 (MI), 4301104001 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 100 MICHIGAN ST NE MC 845 | Grand Rapids, MI 49503-2560 | |
| LOCATION | 4100 LAKE DR SE SUITE 300 | Grand Rapids, MI 49546-8292 | 616-267-8860 |
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