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NPI Code Detail

MEDICARE: MICHELLE S. JANOWSKY PA-C

MEDICARE:   MICHELLE S. JANOWSKY  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AS0400XSurgical Physician AssistantPA2944TN
2363A00000XPhysician AssistantPA.0005277CO
3363A00000XPhysician AssistantPA2944TN

Other Identifiers

General Provider Information

NPI Number : 1093188773
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE S. JANOWSKY PA-C
Provider Business Mailing Address
First Line : 27B TALISMAN DR UNIT 3
Second Line :
City : PAGOSA SPRINGS
State : CO
Zip : 81147-7914
Country : US
Telephone Number : 970-372-0456
Fax Number : 705-073-0109
Provider Business Practice Location Address
First Line : 27B TALISMAN DR UNIT 3
Second Line :
City : PAGOSA SPRINGS
State : CO
Zip : 81147-7914
Country : US
Telephone Number : 970-372-0456
Fax Number : 970-507-3010
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2015
Last Update Date : 12/31/2025

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Directions to “ MICHELLE S. JANOWSKY PA-C” Practice Location

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