Individual
DR. RANDY J JANCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3535 W 13 MILE RD, STE 204, ROYAL OAK, MI 48073
(248) 551-9090
(248) 551-9080
Mailing address
29992 NORTHWESTERN HWY, STE C, FARMINGTON HILLS, MI 48334-3292
(248) 851-1430
(248) 851-5182
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301067765
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0206311192
BC
—
Enumeration date
11/04/2005
Last updated
06/13/2023
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