Individual
NICOLE MARIE JANOWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
12000 E 12 MILE RD, WARREN, MI 48093-3570
(586) 576-4140
(586) 576-4146
Mailing address
12000 E 12 MILE RD, WARREN, MI 48093-3570
(586) 576-4140
(586) 576-4146
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5101018815
MI
Other
Enumeration date
06/03/2010
Last updated
06/03/2010
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