Provider Demographics
NPI:1841750775
Name:SARUWATARI, MICHELE SETSUKO
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:SETSUKO
Last Name:SARUWATARI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 RESERVOIR ROAD NW
Mailing Address - Street 2:DEPARTMENT OF SURGERY
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007
Mailing Address - Country:US
Mailing Address - Phone:202-444-5022
Mailing Address - Fax:202-444-7987
Practice Address - Street 1:3800 RESERVOIR ROAD NW
Practice Address - Street 2:DEPARTMENT OF SURGERY
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007
Practice Address - Country:US
Practice Address - Phone:202-444-5022
Practice Address - Fax:202-444-7987
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-25
Last Update Date:2019-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program