SearchMinnesotaStudent in an Organized Health Care Education/Training Program

Shunichi Takitsu

NPI 1568901379 · on the registry since 2017

Practice

Address
920 18 1/2 St S
Apt. 1
Moorhead, MN 56560
Phone
(701) 541-3826

Registry record

Primary taxonomy
Student in an Organized Health Care Education/Training Program
390200000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-02-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota