Individual
JAMES S. IWAKIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3217 STEIN BOULEVARD, EAU CLAIRE, WI 54701-6995
(715) 835-6548
(715) 835-7708
Mailing address
3217 STEIN BOULEVARD, EAU CLAIRE, WI 54701
(715) 835-6548
(715) 835-7708
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
35227
WI
208800000X
Urology Physician
Primary
35227-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19-00207
MEDICA
WV
01
—
208D2IW
HMO OF WISCONSIN
WI
05
—
32048400
—
WI
01
—
34781
SECURITY HEALTH PLAN
WI
01
—
352227-020
LICENSE
WI
01
—
35227
WAUSAU INSURANCE
WV
05
—
8455228-00
—
MN
Enumeration date
10/31/2006
Last updated
09/03/2009
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