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NPI Code Detail

MEDICARE: KIYONARI NOGUCHI MD

MEDICARE: KIYONARI NOGUCHI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery PhysicianMDR-7718HI

General Provider Information

NPI Number : 1922662634
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIYONARI NOGUCHI MD
Provider Business Mailing Address
First Line : 420 DELAWARE ST SE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55455-0341
Country : US
Telephone Number : 612-625-5151
Fax Number :
Provider Business Practice Location Address
First Line : 420 DELAWARE ST SE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55455-0341
Country : US
Telephone Number : 612-625-5151
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2019
Last Update Date : 06/25/2026

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