Individual
DR. HISAKO M KOIZUMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2929 KENNY RD, SUITE 185, COLUMBUS, OH 43221-2415
(614) 783-7478
(614) 293-8552
Mailing address
2929 KENNY RD, SUITE 185, COLUMBUS, OH 43221-2415
(614) 783-7478
(614) 293-8552
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
35039915
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405814
—
OH
Enumeration date
12/28/2006
Last updated
07/08/2007
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