Organization
STEPHAN JANKOWSKI, O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHAN CARL JANKOWSKI O.D. (OWNER)
(810) 648-2456
Entity
Organization
Contact information
Practice address
93 S MORSE ST, SANDUSKY, MI 48471-1364
(810) 648-2456
(810) 648-5279
Mailing address
93 S MORSE ST, PO BOX 208, SANDUSKY, MI 48471-1364
(810) 648-2456
(810) 648-5279
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
4901002858
MI
Other
Enumeration date
03/19/2008
Last updated
08/26/2009
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