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

DR. KEN JULIAN TAKEKOSHI, M.D.

Active

DR. KEN JULIAN TAKEKOSHI, M.D. is a Anatomic Pathology & Clinical Pathology healthcare provider located in MENDOTA HEIGHTS, Minnesota. NPI 1841349149 is currently active in the NPPES registry. Verify at CMS.

Anatomic Pathology & Clinical Pathology · MENDOTA HEIGHTS, MN

Registration Details

NPI Number
1841349149
Provider Type
Individual
Gender
Male
NPI Issued
Jan 9, 2007 (19.628264117072 yrs)
Last Updated
Feb 13, 2017
Licenses
4301076830 (MI)
56407-20 (WI)
54291 (MN)
036-114264 (IL)

Practice Information

Address
1766 TRAIL RD
MENDOTA HEIGHTS, MN, 551183730
Browse MN providers · Browse ZIP 55118
Phone
6517560038
Fax
6513890175
Primary Specialty
Anatomic Pathology & Clinical Pathology
207ZP0102X

Other Anatomic Pathology & Clinical Pathology Providers in MENDOTA HEIGHTS, MN

Name Credential NPI
DR. PATRICK JOSEPH PARKS M.D. 1902238231
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.