Dr KEN J TAKEKOSHI MD is a male medical professional, specializing in Pathology. He graduated in 2000 from University Of Michigan Medical School.
PARK AND ASSOC S C
410 DEWEY ST
WISCONSIN RAPIDS
WI
544944715
Tel: 7154239170
| Npi | 1841349149 |
| Pac Id | 4981702057 |
| Professional Enrollment Id | I20120808000875 |
| Last Name | TAKEKOSHI |
| First Name | KEN |
| Middle Name | J |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduation Year | 2000 |
| Primary Specialty | PATHOLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| Organization Legal Name | PARK AND ASSOC S C |
| Group Practice Pac Id | 7618054636 |
| Number Of Group Practice Members | 3 |
| Line 1 Street Address | 410 DEWEY ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | WISCONSIN RAPIDS |
| State | WI |
| Zip Code | 544944715 |
| Phone Number | 7154239170 |
| Hospital Affiliation Ccn 1 | 140091 |
| Hospital Affiliation Lbn 1 | THE CARLE FOUNDATION HOSPITAL |
| Hospital Affiliation Ccn 2 | 520033 |
| Hospital Affiliation Lbn 2 | RIVERVIEW HOSPITAL ASSOCIATION |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
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| Professional Accepts Medicare Assignment | Y |
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