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

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Foot & Ankle Surgery Podiatrist Primary 213ES0103XE5960 (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.