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Individual
ATSUSHI ENDO
Active
Individual
ATSUSHI ENDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301085697
MI
207Q00000X
Family Medicine Physician
C152920
CA
207QS0010X
Sports Medicine (Family Medicine) Physician
266010
MA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
ME140212
FL
207XX0801X
Orthopaedic Trauma Physician
85016
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103407600
—
FL
Enumeration date
11/21/2006
Last updated
06/22/2020
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