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Individual
MARK W JANKOWSKE
Active
Individual
MARK W JANKOWSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11922196-1204
UT
208000000X
Pediatrics Physician
246441
MA
208M00000X
Hospitalist Physician
Primary
11922196-1204
UT
208M00000X
Hospitalist Physician
246441
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002340301
MEDICARE
MA
05
—
110089862A
—
MA
Enumeration date
05/21/2007
Last updated
08/11/2026
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