Individual
EIICHI A MIYASAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 E MEDICAL CENTER DR, DEPARTMENT OF SURGERY, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
1500 E MEDICAL CENTER DR, DEPARTMENT OF SURGERY, ANN ARBOR, MI 48109-5000
(734) 936-4000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301100509
MI
208600000X
Surgery Physician
R7883
IA
Other
Enumeration date
06/07/2007
Last updated
08/28/2012
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