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Dr. Gregory Shoichi Ishimoto, MD
Family Medicine Physician in Manitowoc, Wisconsin
NPI 1164681896

Gregory Shoichi Ishimoto is a Family Medicine Physician based in Manitowoc, WI. Gregory Shoichi Ishimoto practices in Manitowoc, WI and has the professional credentials of MD. The NPI Number for Gregory Shoichi Ishimoto is 1164681896 and holds a License No. (Wisconsin).

The current practice location address for Gregory Shoichi Ishimoto is 4100 Dewey St, Manitowoc, WI and can be reached out via phone at 805-624-0615.

Location: 4100 Dewey St, Manitowoc, WI, 54220-5497
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164681896
Provider Name
Gregory Shoichi Ishimoto
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4100 Dewey St, Manitowoc, WI, 54220-5497
Phone Number
805-624-0615
Fax Number
Provider Enumeration Date
06/06/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4100 Dewey St
City
Manitowoc
State
Wisconsin
Zip
54220-5497
Phone Number
805-624-0615
Fax Number
person
Provider Business Mailing Address Details
Address
4100 Dewey St
City
Manitowoc
State
Wisconsin
Zip
54220-5497
Phone Number
805-624-0615
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
56106-020 (Wisconsin)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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