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Dr. Michael W. Itagaki, MD
Vascular & Interventional Radiology Physician in Green Bay, Wisconsin
NPI 1902058555

Michael W. Itagaki is a Vascular & Interventional Radiology Physician based in Green Bay, WI and is specialized in Vascular & Interventional Radiology. Michael W. Itagaki practices in Green Bay, WI and has the professional credentials of MD. The NPI Number for Michael W. Itagaki is 1902058555 and holds a License No. MD60125332 (Wisconsin).

The current practice location address for Michael W. Itagaki is 2845 Greenbrier Rd, Green Bay, WI and can be reached out via phone at 920-288-4848 and via fax at 920-288-4956.

Location: 2845 Greenbrier Rd, Green Bay, WI, 54311-8320
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902058555
Provider Name
Michael W. Itagaki
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2845 Greenbrier Rd, Green Bay, WI, 54311-8320
Phone Number
920-288-4848
Fax Number
920-288-4956
Provider Enumeration Date
10/15/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
685050 05 HI
100212024 05 WI
2023112 05 WA
305309 01 WA LNI PROVIDER ID
314444 01 WA LNI PROVIDER ID
institution
Provider Business Practice Location Address Details
Address
2845 Greenbrier Rd
City
Green Bay
State
Wisconsin
Zip
54311-6519
Phone Number
920-288-4848
Fax Number
920-288-4956
person
Provider Business Mailing Address Details
Address
2845 Greenbrier Rd
City
Green Bay
State
Wisconsin
Zip
54311-6519
Phone Number
920-288-4848
Fax Number
920-288-4956
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
A99197 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
MD60125332 (Washington)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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