Individual
KELLY ISHIZUKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
420 DELAWARE ST SE, MMC 391, MINNEAPOLIS, MN 55455-0341
(612) 624-4477
Mailing address
4443 ARDEN VIEW CT, ARDEN HILLS, MN 55112-1944
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
50412
MN
Other
Enumeration date
01/22/2007
Last updated
01/18/2011
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