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Individual

DR. JEFFREY M JANOSIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5802 WASHINGTON AVE, SUITE 205, RACINE, WI 53406
(262) 884-0606
(262) 884-0811
Mailing address
5802 WASHINGTON AVE, SUITE 205, RACINE, WI 53406
(262) 884-0606
(262) 884-0811

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2083G
WI

Other

Enumeration date
08/21/2006
Last updated
07/08/2007
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