Individual
TAKATO HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2512 ROCHESTER RD, ROYAL OAK, MI 48073-3635
(248) 733-4325
Mailing address
2512 ROCHESTER RD, ROYAL OAK, MI 48073-3635
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
H560785336057
MI
Other
Enumeration date
06/19/2026
Last updated
06/19/2026
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