Individual
DR. JAMES JOHN IVANOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
10320 N PORT WASHINGTON RD, MEQUON, WI 53092-5767
(262) 241-1919
(262) 241-9046
Mailing address
10320 N PORT WASHINGTON RD, MEQUON, WI 53092-5767
(262) 241-1919
(262) 241-9046
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2551
WI
Other
Enumeration date
12/04/2006
Last updated
01/29/2018
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