Individual
DR. MAYO MITSUYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1739 N SAGINAW ST STE 104A, LAPEER, MI 48446-7627
(313) 214-6345
(313) 447-2010
Mailing address
PO BOX 343, GRAND BLANC, MI 48480-0343
(810) 706-6126
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5101019835
MI
208VP0014X
Interventional Pain Medicine Physician
5101019835
MI
Other
Enumeration date
04/02/2012
Last updated
07/21/2026
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