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Individual

DR. JANE E KRASNICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
37130 HOOVER RD, SUITE A, WARREN, MI 48093
(586) 268-9222
(586) 268-9226
Mailing address
31730 HOOVER RD, SUITE A, WARREN, MI 48093-1700
(586) 268-9222
(568) 268-9226

Taxonomy

Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
4301067218
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
030005365
RAILROAD MEDICARE
MI
01
030500426
BCN
MI
05
4450085
MI
01
G39644
HAP
MI
Enumeration date
10/28/2005
Last updated
08/02/2010
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