Individual
MS. COLLEEN JANNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
13450 EAST 12 MILE RD, ADVANCED DERMATOLOGY OF MICHIGAN, PC, WARREN, MI 48088
(586) 219-5960
Mailing address
151 SOUTHHALL LANE, STE 300, ADVANCED DERMATOLOGY OF MICHIGAN, MAITLAND, FL 32751
(407) 875-2080
(407) 650-3455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/27/2009
Last updated
07/29/2015
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