Provider Demographics
NPI:1184635799
Name:JAMES, JANINE ARLETTE (MD)
Entity Type:Individual
Prefix:DR
First Name:JANINE
Middle Name:ARLETTE
Last Name:JAMES
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:10721 W CAPITOL DR STE 210
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53222-1210
Mailing Address - Country:US
Mailing Address - Phone:414-988-3079
Mailing Address - Fax:414-292-9944
Practice Address - Street 1:10721 W CAPITOL DR
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53222-1210
Practice Address - Country:US
Practice Address - Phone:414-988-3079
Practice Address - Fax:915-545-6946
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI27236207VM0101X, 208D00000X
IL0030360606865207VM0101X, 208D00000X, 207VM0101X
MO2007011378207VM0101X
TN445-31207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI30176500Medicaid
WI30176500Medicaid
WIB538821Medicare UPIN