Individual
MATTHEW JAMES JANEZIC
Active
Individual
MATTHEW JAMES JANEZIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
8200
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
8200
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386981777
—
MI
05
—
1386981777
—
MN
05
—
1386981777
—
WI
Enumeration date
01/07/2013
Last updated
01/26/2023
Update your record
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