Most Relevant Information
Provider Data
| NPI Number: | 1003203050 |
| Provider Name: | KOICHI SATO ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | 2561 |
Most Important Dates
| Enumeration Date: | 04/16/2015 |
| Last Updated: | 04/16/2015 |
Provider Practice Location
600 1ST AVE N
MINNEAPOLIS
MN
554031400
Practice Location Phone/Fax
| Phone: | 6126731600 |
| Fax: |
Provider Mailing Location
600 1ST AVE N
MINNEAPOLIS
MN
554031400
Provider Mailing Phone/Fax
| Phone: | 6126731600 |
| Fax: |