Search › Minnesota › 163WH0200X
Ishmael Komara
NPI 1548702889 · on the registry since 2016
Practice
- Address
- 5317 Brookdale Dr N
Brooklyn Park, MN 55443 - Phone
- (763) 458-2727
- Fax
- (763) 207-0076
Registry record
- Primary taxonomy
- 163WH0200X
163WH0200X
- Also registered as
- 374U00000X
376J00000X
376K00000X - Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-11-16
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 Minnesota