Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 65360 | WI |
N | 207RC0000X | Internist - Cardiovascular Disease | 65360 | WI |
N | 207RC0000X | Internist - Cardiovascular Disease | MD434787 | PA |
NPI | 1326235607 |
---|---|
Provider Name | David Ishizawar |
First Address | Milwaukee, WI 53226-3522 |
Second Address | Milwaukee, WI 53226-3522 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2007 |
Last Update Date | 01/11/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1326235607 | (05) | WI |