Individual
MR. STEPHAN CARL JANKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
93 S MORSE ST, SANDUSKY, MI 48471-0208
(810) 648-2456
(810) 648-5279
Mailing address
PO BOX 208, SANDUSKY, MI 48471-0208
(810) 648-2456
(810) 648-5279
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002858
MI
Other
Enumeration date
12/28/2005
Last updated
01/05/2009
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