Mr Adeyinka Mark Fagbamila, BSC RPT - Physical Therapist in Detroit, MI

Mr Adeyinka Mark Fagbamila, BSC RPT is a Physical Therapist based in Detroit, Michigan. Mr Adeyinka Mark Fagbamila is licensed to practice in Michigan (license number 5501009139) and his current practice location is 20510 Fenkell St, Detroit, Michigan. He can be reached at his office (for appointments etc.) via phone at (313) 534-6611.

NPI number for Mr Adeyinka Mark Fagbamila is 1437267556 and his current mailing address is 26696 Isleworth Pt, Southfield, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1437267556.

Contact Information

Mr Adeyinka Mark Fagbamila, BSC RPT
20510 Fenkell St,
Detroit, MI 48223-1613
(313) 534-6611
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Adeyinka Mark Fagbamila
GenderMale
SpecialityPhysical Therapist
Location20510 Fenkell St, Detroit, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1437267556
  • Provider Enumeration Date: 08/28/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Adeyinka Mark Fagbamila such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437267556NPI-NPPES
4693548MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 5501009139 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Adeyinka Mark Fagbamila is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Adeyinka Mark Fagbamila, BSC RPT
26696 Isleworth Pt,
Southfield, MI 48034-5670

Ph: (313) 492-1946
Mr Adeyinka Mark Fagbamila, BSC RPT
20510 Fenkell St,
Detroit, MI 48223-1613

Ph: (313) 534-6611

Reviews and Comments


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