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Individual
MARTIN KEITH ISHIKAWA
Active
Individual
MARTIN KEITH ISHIKAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
4301098957
MO
390200000X
Student in an Organized Health Care Education/Training Program
4301098957
MI
Other
Enumeration date
06/15/2011
Last updated
05/20/2015
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