Individual
GRANT MICHAEL SHIGERU YONEMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 789-3443
Mailing address
176 MIDDLESEX RD, DARIEN, CT 06820-3325
(808) 348-5746
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5960
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/25/2020
Last updated
03/16/2024
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