Individual
DR. MARY A JANOWIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1072 N LIBERTY ST, SUITE 100, BOISE, ID 83704-8708
(208) 302-1200
(208) 302-1255
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M9988
ID
Other
Enumeration date
03/15/2007
Last updated
10/11/2022
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