Individual
DR. DAVID J JANICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2723 S 7TH ST, SUITE D, TERRE HAUTE, IN 47802-3558
(812) 238-5665
(812) 238-5515
Mailing address
2723 S 7TH ST, SUITE A, TERRE HAUTE, IN 47802-3558
(812) 238-1730
(812) 242-1565
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01024050A
IN
Other
Enumeration date
02/14/2006
Last updated
02/04/2008
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