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Katsunori Miyake
Student in an Organized Health Care Education/Training Program in Troy, Michigan
NPI 1144003971

Katsunori Miyake is a Student in an Organized Health Care Education/Training Program based in Chicago, MI. Katsunori Miyake practices in Troy, MI. The NPI Number for Katsunori Miyake is 1144003971 and holds a License No. (Michigan).

The current practice location address for Katsunori Miyake is 5214 Saffron Dr, Troy, MI and can be reached out via phone at 947-209-3223. You can also correspond with Katsunori Miyake through the mailing address at 820 S WOOD ST STE 100, CHICAGO, IL - 60612-4325 (mailing address contact number: 312-996-2933).

Location: 5214 Saffron Dr, Troy, MI, 60612-4325
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144003971
Provider Name
Katsunori Miyake
Credential
Provider Entity Type
Individual
Gender
Male
Address
5214 Saffron Dr, Troy, MI, 60612-4325
Phone Number
947-209-3223
Fax Number
Provider Enumeration Date
08/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5214 Saffron Dr
City
Troy
State
Michigan
Zip
48085-6705
Phone Number
947-209-3223
Fax Number
person
Provider Business Mailing Address Details
Address
5214 Saffron Dr
City
Troy
State
Michigan
Zip
48085-6705
Phone Number
947-209-3223
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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