Individual
DR. SOICHIRO NAGAMATSU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
516 DELAWARE ST SE, 14-100 PWB MEDICINE EDUCATION OFFICE, MINNEAPOLIS, MN 55455-0356
(612) 624-8199
Mailing address
516 DELAWARE ST SE, 14-100 PWB MEDICINE EDUCATION OFFICE, MINNEAPOLIS, MN 55455-0356
(612) 624-8199
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
49340
MN
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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