Itagaki, Michael W.

Itagaki, Michael W. is an individual health care provider with primary practice located at 2845 Greenbrier Rd , Green Bay WI 54311-6519. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Itagaki, Michael W. can be contacted via phone (920) 288-4848.

Contact Information

Primary practice address
2845 Greenbrier Rd Green Bay WI 54311-6519
Phone: (920) 288-4848
Fax: (920) 288-4956
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD60125332 Washington
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A99197 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 81016-20 Wisconsin
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD60125332 Washington
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 81016 Wisconsin

Profile Details

NPI number 1902058555
LBN Legal business name Itagaki, Michael W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2008
Last updated Jul 13th, 2023 - about last year

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 1902058555 NPPES
Hawaii MEDICAID 685050
Hawaii MEDICAID 100212024
Hawaii MEDICAID 2023112
Hawaii Other 305309
Hawaii Other 314444

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