Individual
MARTIN KEITH ISHIKAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 E MEDICAL CENTER DRIVE, 2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY, ANN ARBOR, MI 48109-5054
(800) 862-7284
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
4301098957
MO
390200000X
Student in an Organized Health Care Education/Training Program
4301098957
MI
Other
Enumeration date
06/15/2011
Last updated
05/20/2015
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