Individual
JONATHAN L HAWES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
40 1ST ST SE, WAUKON, IA 52172-2022
(563) 568-3411
(563) 568-6139
Mailing address
40 1ST ST SE, WAUKON, IA 52172-2022
(563) 568-3411
(563) 568-6139
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
710
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720083363
—
IA
Enumeration date
06/20/2005
Last updated
09/22/2020
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