Individual
DR. JANN E. TRZECIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1915 N PERRT STREET, PONTIAC, MI 48340
(248) 276-3999
(248) 276-3998
Mailing address
PO BOX 685, LAPEER, MI 48446-0685
(866) 898-7139
(616) 975-9827
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101012099
MI
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
5101011299
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619199171
—
MI
01
—
JT012099
BCBS
MI
Enumeration date
05/03/2007
Last updated
09/20/2019
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