Individual
JOHN JAMNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2711 ORCHARD LAKE RD, KEEGO HARBOR, MI 48320-1446
(248) 682-0922
Mailing address
5285 IROQUOIS CT, CLARKSTON, MI 48348-3013
(248) 394-1853
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13582
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4068598
—
MI
01
—
85771
UNITED CONCORDIA
MI
Enumeration date
08/05/2006
Last updated
12/03/2015
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