Individual
DR. GERALD DWAIN JANULEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2620 W FAIDLEY AVE, GRAND ISLAND, NE 68803-4205
(308) 382-6856
(308) 381-1560
Mailing address
2808 OLD FAIR RD, SUITE I, GRAND ISLAND, NE 68803-5220
(308) 382-6856
(308) 381-1560
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
12043
NE
2085R0202X
Diagnostic Radiology Physician
18746
AZ
2085R0202X
Diagnostic Radiology Physician
36569
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07477
BLUE CROSS BLUE SHIELD
NE
01
—
300046666
RAILROAD MEDICARE
NE
Enumeration date
06/28/2006
Last updated
03/07/2023
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