Individual
DR. TETSURO MAEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
619 19TH STREET S, BIRMINGHAM, AL 35294-3851
(205) 934-3411
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
44908
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/09/2017
Last updated
10/25/2023
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