Individual
DR. JENNA NICHOLE FRAKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1261 WOOSTER RD, MILLERSBURG, OH 44654
(330) 674-3333
Mailing address
1261 WOOSTER RD, MILLERSBURG, OH 44654-1568
(330) 674-3333
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.013988
OH
207Q00000X
Family Medicine Physician
5101022879
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5101022879
MI MEDICAL LICENSE
MI
Enumeration date
08/17/2016
Last updated
08/26/2019
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