Healthcare Provider Details

I. General information

NPI: 1184635799
Provider Name (Legal Business Name): JANINE ARLETTE JAMES M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 04/25/2023
Certification Date: 04/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10721 W CAPITOL DR
MILWAUKEE WI
53222-1210
US

IV. Provider business mailing address

10721 W CAPITOL DR STE 210
MILWAUKEE WI
53222-1210
US

V. Phone/Fax

Practice location:
  • Phone: 414-988-3079
  • Fax: 915-545-6946
Mailing address:
  • Phone: 414-988-3079
  • Fax: 414-292-9944

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number27236
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number0030360606865
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number0030360606865
License Number StateIL
# 4
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number27236
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: