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NPI Code Detail

MEDICARE: DR. JANELLE MICHELLE IWEN PHARMD

MEDICARE: DR. JANELLE MICHELLE IWEN PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist23292-40WI

General Provider Information

NPI Number : 1336001551
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JANELLE MICHELLE IWEN PHARMD
Provider Business Mailing Address
First Line : 2727 NEWBERRY AVE
Second Line :
City : GREEN BAY
State : WI
Zip : 54302-5111
Country : US
Telephone Number : 920-661-9355
Fax Number : 920-661-9309
Provider Business Practice Location Address
First Line : 464 CARDINAL LN
Second Line :
City : GREEN BAY
State : WI
Zip : 54313-9569
Country : US
Telephone Number : 920-661-9355
Fax Number : 920-661-9309
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2025
Last Update Date : 11/25/2025

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