Individual
MRS. MARI E. JANKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
16516 MANCHESTER RD, WILDWOOD, MO 63040-1217
(636) 458-8400
(636) 458-8404
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9016
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
85002172
IL
Other
Enumeration date
08/25/2005
Last updated
09/20/2021
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