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Shunichi Takitsu
Student in an Organized Health Care Education/Training Program in Moorhead, Minnesota
NPI 1568901379

Shunichi Takitsu is a Student in an Organized Health Care Education/Training Program based in Moorhead, MN. Shunichi Takitsu practices in Moorhead, MN. The NPI Number for Shunichi Takitsu is 1568901379 and holds a License No. (Minnesota).

The current practice location address for Shunichi Takitsu is 920 18 1/2 St S, Moorhead, MN and can be reached out via phone at 701-541-3826. You can also correspond with Shunichi Takitsu through the mailing address at 920 18 1/2 ST S, MOORHEAD, MN - 56560-3194 (mailing address contact number: 701-541-3826).

Location: 920 18 1/2 St S, Moorhead, MN, 56560-3194
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568901379
Provider Name
Shunichi Takitsu
Credential
Provider Entity Type
Individual
Gender
Male
Address
920 18 1/2 St S, Moorhead, MN, 56560-3194
Phone Number
701-541-3826
Fax Number
Provider Enumeration Date
02/14/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
920 18 1/2 St S
City
Moorhead
State
Minnesota
Zip
56560-3194
Phone Number
701-541-3826
Fax Number
person
Provider Business Mailing Address Details
Address
920 18 1/2 St S
City
Moorhead
State
Minnesota
Zip
56560-3194
Phone Number
701-541-3826
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.
(Minnesota)
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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