Individual
MICHAEL MICHIO MARUYAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1125 EAST SPRUCE AVENUE, SUITE 101, FRESNO, CA 93720-3330
(559) 450-3901
(559) 450-3903
Mailing address
1125 EAST SPRUCE AVENUE, SUITE 101, FRESNO, CA 93720-3330
(559) 450-3901
(559) 450-3903
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G32834
CA
Other
Enumeration date
10/25/2006
Last updated
02/19/2013
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