Provider Demographics
NPI:1326017724
Name:JOYCE, JAMES J (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:J
Last Name:JOYCE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1716 LAWRENCE DR
Mailing Address - Street 2:
Mailing Address - City:DE PERE
Mailing Address - State:WI
Mailing Address - Zip Code:54115-9108
Mailing Address - Country:US
Mailing Address - Phone:920-605-3115
Mailing Address - Fax:920-486-6826
Practice Address - Street 1:1716 LAWRENCE DR
Practice Address - Street 2:
Practice Address - City:DE PERE
Practice Address - State:WI
Practice Address - Zip Code:54115-9108
Practice Address - Country:US
Practice Address - Phone:920-605-3115
Practice Address - Fax:920-486-6826
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI23380-875207Q00000X
MN32662207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MR9121016357OtherPREFERRED ONE
080195056OtherMEDICARE RAILROAD
4485528OtherAETNA
67G60J0OtherMPIN
WI100208643Medicaid
4485528OtherAETNA
MR9121016357OtherPREFERRED ONE
4485528OtherAETNA
080012368Medicare ID - Type UnspecifiedPART B