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General NPI Number Information
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NPI Number | 1639171754
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Entity Type | Individual
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Provider Name | MIKE FRANZ JANICEK MD
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Gender | Male
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Dates
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Enumeration Date | 08/10/2005
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Last Update Date | 03/07/2018
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Provider Practice Location Address
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Address Line | 10197 N 92ND ST SUITE 101
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4560
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Country | US
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Telephone | 480-993-2950
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Fax | 480-993-2957
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Provider Business Mailing Address
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Address Line | 1760 E RIVER RD SUITE 350
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City | TUCSON
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State | AZ
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Zip | 85718-5877
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Country | US
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Telephone | 520-519-7775
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Fax | 520-519-7910
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | AZ26273
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License Number State | AZ
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