Individual
DR. MITSUHIRO NISHIZAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 E GRAY ST, LOUISVILLE, KY 40202-3900
(502) 584-7525
Mailing address
309 PALAZZO CIR APT 106, LOUISVILLE, KY 40222-5696
(415) 806-7258
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
10/09/2024
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