Individual
GREGORY IWAASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
401 N 9TH ST, BISMARCK, ND 58501-4530
(701) 530-6000
Mailing address
401 N 9TH ST., BISMARCK, ND 58504-4530
(701) 530-6000
(701) 530-6407
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC006202
PA
Other
Enumeration date
08/31/2010
Last updated
09/16/2013
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