Individual
MICHELLE JANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4217 CAREY LN, BLOOMFIELD HILLS, MI 48301-1232
(248) 877-1567
Mailing address
4217 CAREY LN, BLOOMFIELD HILLS, MI 48301-1232
(248) 877-1567
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
05/02/2016
Last updated
02/08/2022
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