Individual
WATARU ISHIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 ORLEANS ST, DEPT OF NEUROSURGERY, ZAYED TOWER, MAILSTOP 6007, BALTIMORE, MD 21287-0010
(443) 764-0350
Mailing address
1800 ORLEANS ST, DEPARTMENT OF NEUROSURGERY, ZAYED TOWER, MAILSTOP 6007, BALTIMORE, MD 21287-0010
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
NA
MD
Other
Enumeration date
03/27/2020
Last updated
03/27/2020
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