Individual
DR. HIROMICHI ITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 E MICHIGAN AVENUE, SUITE 655, LANSING, MI 48912
(517) 267-2460
(517) 267-2462
Mailing address
804 SERVICE RD, A201, EAST LANSING, MI 48824-7015
(517) 884-2976
(517) 432-3928
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
216441
MA
2086X0206X
Surgical Oncology Physician
Primary
248676
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588735674
—
MI
Enumeration date
11/13/2006
Last updated
06/30/2016
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