Organization
MAYO MITSUYA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAY MITSUYA DO (OWNER/PHYSICIAN)
(248) 943-3113
Entity
Organization
Contact information
Practice address
1375 N MAIN ST, LAPEER, MI 48446-1350
(810) 667-7350
Mailing address
130 KERCHEVAL AVE STE 210, GROSSE PT FRM, MI 48236-3798
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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