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Dr. Keith Y Miyamoto, MD
Urology Physician in Gaylord, Michigan
NPI 1609883842

Keith Y Miyamoto is a Urology Physician based in Gaylord, MI. Keith Y Miyamoto practices in Gaylord, MI and has the professional credentials of MD. The NPI Number for Keith Y Miyamoto is 1609883842 and holds a License No. 4301032171 (Michigan).

The current practice location address for Keith Y Miyamoto is 829 N Center Ave, Gaylord, MI and can be reached out via phone at 989-731-7131 and via fax at 989-731-6415.

Location: 829 N Center Ave, Gaylord, MI, 49735-1595
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609883842
Provider Name
Keith Y Miyamoto
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
829 N Center Ave, Gaylord, MI, 49735-1595
Phone Number
989-731-7131
Fax Number
989-731-6415
Provider Enumeration Date
08/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OF96004 01 MEDICARE GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
829 N Center Ave
City
Gaylord
State
Michigan
Zip
49735-1595
Phone Number
989-731-7131
Fax Number
989-731-6415
person
Provider Business Mailing Address Details
Address
829 N Center Ave
City
Gaylord
State
Michigan
Zip
49735-1595
Phone Number
989-731-7131
Fax Number
989-731-6415
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
4301032171 (Michigan)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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