Healthcare Provider Details

I. General information

NPI: 1306909924
Provider Name (Legal Business Name): PETE K. JANEVSKI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HENRY FORD HEALTH SYSTEM 19401 HUBBARD DRIVE
DEARBORN MI
48126
US

IV. Provider business mailing address

HENRY FORD HEALTH SYSTEM 19401 HUBBARD DRIVE
DEARBORN MI
48126
US

V. Phone/Fax

Practice location:
  • Phone: 313-982-8330
  • Fax: 313-982-8294
Mailing address:
  • Phone: 313-982-8330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number4301403488
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code2082S0105X
TaxonomySurgery of the Hand (Plastic Surgery) Physician
License Number4301403488
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: