Individual provider · Type 1 NPI
Grant Michael Shigeru Yonemoto, DPM
Foot & Ankle Surgery Podiatrist · New Haven, CT
NPI number
1659908168
Active
Practice location
20 York St
New Haven, CT 06510-3220
Mailing address
176 Middlesex Rd
Darien, CT 06820-3325
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | E5960 (CA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1659908168
Grant Michael Shigeru Yonemoto, DPM's National Provider Identifier is 1659908168, issued on Mar 25, 2020. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in New Haven, CT. The record was last updated on Mar 16, 2024.