Individual
MICHAEL T OKUMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10499 N 48TH ST, AUGUSTA, MI 49012-9500
(269) 282-7700
Mailing address
355 N CENTER RD, SAGINAW, MI 48638-5849
(989) 401-8916
(833) 200-5177
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301076050
MI
207LA0401X
Addiction Medicine (Anesthesiology) Physician
Primary
4301076050
MI
207QA0401X
Addiction Medicine (Family Medicine) Physician
4301076050
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
TN
Enumeration date
07/17/2006
Last updated
08/24/2022
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