Individual
JANET MARIA POULIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3901 BEAUBIEN, CHILDRENS HOSPITAL OF MI PATHOLOGY, DETROIT, MI 48201-2119
(313) 745-2553
(313) 993-8754
Mailing address
1560 E MAPLE RD, SUITE 400-CREDENTIALING, TROY, MI 48083-1189
(248) 581-5974
(248) 581-5640
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301062769
MI
207ZP0213X
Pediatric Pathology Physician
4301062769
MI
Other
Enumeration date
06/02/2006
Last updated
04/28/2016
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