Individual
FRANK EDWARD HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3254 KIMBALL AVE, WATERLOO, IA 50702-5739
(319) 235-7246
(319) 235-3017
Mailing address
4150 KIMBALL AVE, PO BOX 2758, WATERLOO, IA 50701-9086
(319) 235-5390
(319) 233-1630
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35492
IA
208VP0000X
Pain Medicine Physician
35492
IA
208VP0014X
Interventional Pain Medicine Physician
Primary
35492
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13811
WELLMARK HEALTH PLAN
IA
01
—
421417307 J3
JOHN DEERE HEALTH PLAN
IA
05
—
4554295
—
IA
Enumeration date
05/19/2006
Last updated
01/06/2012
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