Individual
TAKASHI TAKAHASHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,M.S.
Contact information
Practice address
420 DELAWARE ST SE, MAYO MEMORIAL BUILDING, MINNEAPOLIS, MN 55455-0341
(612) 626-5566
Mailing address
420 DELAWARE ST SE, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455-0341
(612) 626-5566
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
53754
MN
Other
Enumeration date
04/14/2008
Last updated
08/06/2014
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