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NPI Code Detail

MEDICARE: DR. HOLLE J JANESKI DO

MEDICARE:  DR. HOLLE J JANESKI  DO
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
1207R00000XInternal Medicine Physician5101012714MI

General Provider Information

NPI Number : 1508864174
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HOLLE J JANESKI DO
Provider Business Mailing Address
First Line : 18580 FORT ST
Second Line :
City : RIVERVIEW
State : MI
Zip : 48193-7442
Country : US
Telephone Number : 734-479-8800
Fax Number : 734-283-4861
Provider Business Practice Location Address
First Line : 18580 FORT ST
Second Line :
City : RIVERVIEW
State : MI
Zip : 48193-7442
Country : US
Telephone Number : 734-479-8800
Fax Number : 734-283-4861
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2005
Last Update Date : 03/16/2021

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Directions to “ DR. HOLLE J JANESKI DO” Practice Location

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