Individual
CHARLES R JANOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
205 OSCEOLA ST, LAURIUM, MI 49913-2134
(906) 337-6591
(906) 337-6597
Mailing address
205 OSCEOLA ST, LAURIUM, MI 49913-2134
(906) 337-6591
(906) 337-6597
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
47000459
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4078137
UPHP
MI
05
—
4078137
—
MI
Enumeration date
01/22/2007
Last updated
10/17/2008
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