Kawata, Michitaka

Kawata, Michitaka is an individual health care provider with primary practice located at 1836 South Ave , La Crosse WI 54601-5429. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Kawata, Michitaka can be contacted via phone (608) 782-7300.

Contact Information

Primary practice address
1836 South Ave La Crosse WI 54601-5429
Phone: (608) 782-7300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MA08835400 New Jersey
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 65773 Wisconsin
Allopathic & Osteopathic Physicians / Surgery 208600000X 65773 Wisconsin
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 25MA08835400 New Jersey

Profile Details

NPI number 1417186859
LBN Legal business name Kawata, Michitaka
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2009
Last updated Jun 29th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417186859 NPPES
New Jersey Other MA08835400 STATE LICENSE

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