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Individual
MICHAEL B ISHITANI
Active
Individual
MICHAEL B ISHITANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
41932
MN
208600000X
Surgery Physician
56304-020
WI
2086S0102X
Surgical Critical Care Physician
Primary
41932
MN
Other
Enumeration date
01/06/2006
Last updated
05/16/2025
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