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Individual

DR. DAVID BRIAN JANIZEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5001 US HIGHWAY 30 W STE D, FORT WAYNE, IN 46818-9701
(260) 432-1568
(260) 432-4969
Mailing address
PO BOX 80070, FORT WAYNE, IN 46898-0070
(260) 432-1568
(260) 432-4969

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01039174A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100320850
IN
05
1265403398
MI
05
2038299
OH
Enumeration date
01/27/2006
Last updated
01/07/2025
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