Individual
SHUNICHI TAKITSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
920 18 1/2 ST S, APT. 1, MOORHEAD, MN 56560-3194
(701) 541-3826
Mailing address
920 18 1/2 ST S, APT. 1, MOORHEAD, MN 56560-3194
(701) 541-3826
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MN
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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