Jennifer B Mitsuya, D.O. Valid NPI

Individual provider · Pediatric Gastroenterology Physician · Royal Oak, MI

NPI

1336405554

Type

Individual (Type 1)

Primary specialty

Pediatric Gastroenterology Physician (Pediatrics)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2080P0206X

License number

5101019846 (MI)

Sex

Female

Sole proprietor

No

Enumerated

2012-04-02

Last updated

2020-10-22