Individual
MR. ANDREW GEORGE IWACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 STEVENSON ST, SAN FRANCISCO, CA 94105-2936
(415) 981-2020
(415) 981-2019
Mailing address
55 STEVENSON ST, SAN FRANCISCO, CA 94105-2936
(415) 981-2020
(415) 981-2019
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G56142
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G561421
—
CA
Enumeration date
10/12/2006
Last updated
04/15/2008
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