Individual
MARTIN J JANOWAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, CST, BCTMB
Contact information
Practice address
6125 IVES LN N, PLYMOUTH, MN 55442-1248
(612) 222-6221
Mailing address
6125 IVES LN N, PLYMOUTH, MN 55442-1248
(612) 222-6221
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MT3400695
MN
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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