Individual
MR. KOICHI SATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
600 1ST AVE N, MINNEAPOLIS, MN 55403-1400
(612) 673-1600
Mailing address
600 1ST AVE N, MINNEAPOLIS, MN 55403-1400
(612) 673-1600
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2561
MN
Other
Enumeration date
04/16/2015
Last updated
04/16/2015
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