Search › Michigan › 207R00000X
Olawale Olanisa, MD
NPI 1538711015 · on the registry since 2019
Practice
- Address
- 300 Lafayette Ave Se Ste 3000
Grand Rapids, MI 49503 - Phone
- (616) 685-6919
- Organisation at this address
- Saint Marys Family Pharmacy-Wege Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 129
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207R00000X
106S00000X - Licence states on file
- TN, MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-09-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan