Individual
DR. YUSUKE WAKESHIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2150 W 29TH AVE, DENVER, CO 80211-3844
(303) 331-6744
Mailing address
2150 W 29TH AVE, DENVER, CO 80211-3844
(303) 331-6744
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
38757
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
68925085
—
CO
Enumeration date
04/19/2006
Last updated
06/17/2011
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