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Individual

DEAN M ISHIKI

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
515 MINOR AVE, STE 220, SEATTLE, WA 98104-2120
(206) 622-9496
(206) 622-0924
Mailing address
515 MINOR AVE, STE 220, SEATTLE, WA 98104-2120
(206) 622-9496
(206) 622-0924

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
18672
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1117076
WA
01
I175
REGENCE
WA
Enumeration date
12/28/2005
Last updated
07/08/2007
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