Individual
DR. JACK D JANIGIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
950 N CASS LAKE RD, WATERFORD, MI 48328-2370
(248) 682-2900
(248) 682-5783
Mailing address
950 N CASS LAKE RD, 103, WATERFORD, MI 48328-2370
(248) 682-2900
(248) 682-5783
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
JJ000709
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1948616
—
MI
Enumeration date
02/27/2006
Last updated
12/04/2007
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