Individual
DR. YUSUKE TERASAKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 ORLEANS ST, #7116-B2, BALTIMORE, MD 21287-0010
(410) 955-3809
Mailing address
311 MACK AVE # 64100, DETROIT, MI 48201-2466
(313) 832-0650
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
278505
NY
208600000X
Surgery Physician
4301500603
MI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
278505
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
4301500603
MI
Other
Enumeration date
03/24/2010
Last updated
08/07/2019
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