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1407177884
DAVID TETSUJI ISHIYAMA
GRAND RAPIDS, MI
NPI
1407177884
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: MI 4301096372)
Enumeration Date
2010-06-19
Last Update Date
2013-05-31
Business Address
-- DAVID TETSUJI ISHIYAMA M.D.
1000 MONROE AVE NW GRMEP
GRAND RAPIDS, MI 49503-1455
Phone number: 616-391-8879
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Mailing Address
-- DAVID TETSUJI ISHIYAMA M.D.
44650 DANBURY RD
CANTON, MI 48188-1050
Phone number:
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