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Contact Information

GREGORY IWAASA, DPM
401 N 9TH ST
BISMARCK, ND58501-4530
 Phone: 701-530-6000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for GREGORY IWAASA · (Male)

NPI Number 1215244041
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 08/31/2010
Last updated 09/16/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • PA License # SC006202
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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