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Individual

DR. NICHOLAS GREGORY IWASKO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
L3347
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
35-07-8584-I
MEDICAL LICENSE NUMBER
OH
01
43010774455
MEDICAL LICENSE NUMBER
MI
01
AO68320
MEDICAL LICENSE NUMBER
CA
01
L3347
MEDICAL LICENSE NUMBER
TX
01
ME-0073118
MEDICAL LICENSE NUMBER
FL
Enumeration date
07/30/2006
Last updated
11/10/2021
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