Individual
MEGUMI IIZUKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2880 UNIVERSITY AVE, MADISON, WI 53705-3644
(608) 263-7171
Mailing address
8007 EXCELSIOR DR, MADISON, WI 53717-1903
(608) 829-5247
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
49173
WI
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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