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Contact Information

JENNIFER B MITSUYA, DO
3535 W 13 MILE RD STE 707
ROYAL OAK, MI48073
 Phone: 248-551-0487
 Fax: 248-551-3696
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JENNIFER B MITSUYA · (Female)

NPI Number 1336405554
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/02/2012
Last updated 10/22/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5101019846
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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