IndividualActive
Olufemi Soyode, MD
NPI 1184735698 · Neurology with Special Qualifications in Child Neurology Physician · Grand Rapids, MI
Provider details
- NPI number
- 1184735698
- Entity type
- Individual
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4301081420 (MI)
Specialties & taxonomies
- Neurology with Special Qualifications in Child Neurology PhysicianPrimary2084N0402XLicense 4301081420 (MI)
Allopathic & Osteopathic Physicians
Practice location
422 Plymouth Ave Ne
Grand Rapids, MI 49505-6028
Phone: (616) 294-0010
Fax: (616) 828-1802
Approximate (ZIP-level) locationGet directions
Mailing address
422 Plymouth Ave Ne
Grand Rapids, MI 49505-6028
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2015-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.