Individual
ANDREW M JABLONOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
1000 HARRINGTON ST, MOUNT CLEMENS, MI 48043-2920
(586) 493-8844
(586) 493-8186
Mailing address
1000 HARRINGTON ST, MOUNT CLEMENS, MI 48043-2920
(586) 493-8844
(586) 493-8186
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704259285
MI
363LP2300X
Primary Care Nurse Practitioner
Primary
4704259285
MI
Other
Enumeration date
02/18/2013
Last updated
03/18/2017
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