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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENNIFER B MITSUYA, D.O.

Active

JENNIFER B MITSUYA, D.O. is a Pediatric Gastroenterology healthcare provider located in ROYAL OAK, Michigan. NPI 1336405554 is currently active in the NPPES registry. Verify at CMS.

Pediatric Gastroenterology · ROYAL OAK, MI

Registration Details

NPI Number
1336405554
Provider Type
Individual
Gender
Female
NPI Issued
Apr 2, 2012 (14.391838693529 yrs)
Last Updated
Oct 22, 2020
License
5101019846 (MI)

Practice Information

Address
3535 W 13 MILE RD STE 707
ROYAL OAK, MI, 48073
Browse MI providers · Browse ZIP 48073
Phone
2485510487
Fax
2485513696
Primary Specialty
Pediatric Gastroenterology
2080P0206X

Other Pediatric Gastroenterology Providers in ROYAL OAK, MI

Name Credential NPI
SOUHEIL GEBARA 1528028651
ROBERT M TRUDING M.D. 1114987195
DR. THOMAS LANE SUTTON M.D. 1750319232
UZMA SHAH M.D. 1881700706
AYESHA FATIMA 1235357708
DR. JAMAL KRIEM MD 1013120732
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.