Search › Wisconsin › 207Q00000X
Gregory Ishimoto, M.D
NPI 1164681896 · on the registry since 2008
Practice
- Address
- 4100 Dewey St
Manitowoc, WI 54220 - Phone
- (805) 624-0615
- Organisation at this address
- Aurora Medical Group, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 390200000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-08-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin