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NPI Code Detail

MEDICARE: RICHARD JANKOWSKI MD

MEDICARE:   RICHARD  JANKOWSKI  MD
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
12085R0202XDiagnostic Radiology Physician4301048512MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356303770
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD JANKOWSKI MD
Provider Business Mailing Address
First Line : 1900 COLUMBUS AVE
Second Line :
City : BAY CITY
State : MI
Zip : 48708-6831
Country : US
Telephone Number : 989-894-6503
Fax Number : 989-894-9533
Provider Business Practice Location Address
First Line : 1900 COLUMBUS AVE
Second Line :
City : BAY CITY
State : MI
Zip : 48708-6831
Country : US
Telephone Number : 989-894-6503
Fax Number : 989-894-9533
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2006
Last Update Date : 05/15/2012

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Directions to “ RICHARD JANKOWSKI MD” Practice Location

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