MEDICARE: ALEFE ADIMASU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208U00000X	Clinical Pharmacology Physician	5302038069	MI

General Provider Information

NPI Number	:	1821921115
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEFE ADIMASU

Provider Business Mailing Address
First Line	:	5450 WOODFIELD PKWY
Second Line	:
City	:	GRAND BLANC
State	:	MI
Zip	:	48439-9401
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 HURLEY PLZ
Second Line	:
City	:	FLINT
State	:	MI
Zip	:	48503-5902
Country	:	US
Telephone Number	:	734-925-1891
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2026
Last Update Date	:	06/05/2026

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Directions to “ ALEFE ADIMASU ” Practice Location

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