Organization
ELLEN A. JANETZKE, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLEN A JANETZKE M.D (PHYSICIAN)
(248) 258-5100
Entity
Organization
Contact information
Practice address
60 W BIG BEAVER RD STE 100NA, BLOOMFIELD HILLS, MI 48304-3909
(248) 258-5100
(248) 258-5110
Mailing address
60 W BIG BEAVER RD STE 100NA, BLOOMFIELD HILLS, MI 48304-3909
(248) 258-5100
(248) 258-5110
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
EJ066875
MI
Other
Enumeration date
11/28/2007
Last updated
05/26/2021
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