Organization
JACK JANIGIAN DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK JANIGIAN DPM (PRESIDENT)
(248) 682-2900
Entity
Organization
Contact information
Practice address
42925 7 MILE, NORTHVILLE, MI 48167-2277
(248) 349-3900
(248) 348-3851
Mailing address
43134 SANDSTONE DR, NOVI, MI 48377-2718
(248) 682-2900
(810) 688-1759
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000709
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1948616
—
MI
Enumeration date
08/30/2006
Last updated
05/27/2015
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