Individual
MARY A JANNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
950 SPRUCE ST STE 1H, LOUISVILLE, CO 80027-1977
(720) 598-1189
(720) 540-4250
Mailing address
950 SPRUCE ST STE 1H, LOUISVILLE, CO 80027-1977
(720) 598-1189
(720) 540-4250
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2355
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017865
KAISER COMMERCIAL NUMBER
CO
05
—
41920571
—
CO
Enumeration date
05/02/2007
Last updated
08/04/2026
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