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Individual

DR. RICARDO MIYAOKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
515 4TH ST SE APT 203, MINNEAPOLIS, MN 55414-1745
(612) 250-9119
Mailing address
515 4TH ST SE APT 203, MINNEAPOLIS, MN 55414-1745
(612) 250-9119

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
107917
ZZ

Other

Enumeration date
08/04/2008
Last updated
08/04/2008
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