Individual
WARREN Y ISHIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 SIXTH AVE NO, CENTRACARE CLINIC, ST CLOUD, MN 56303-2735
(320) 252-5131
Mailing address
1200 SIXTH AVE NO, CENTRACARE CLINIC, ST CLOUD, MN 56303-2735
(320) 252-5131
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
48150
MN
Other
Enumeration date
11/29/2005
Last updated
07/28/2008
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