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Individual
DR. KEN JULIAN TAKEKOSHI
Active
Individual
DR. KEN JULIAN TAKEKOSHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
036-114264
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301076830
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
54291
MN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
56407-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220F160310
BCBS
MI
05
—
4991871
—
MI
Enumeration date
01/09/2007
Last updated
02/13/2017
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