MEDICARE: DR. JANET GRAY WARNER 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
1	2084P0800X	Psychiatry Physician	4301061844	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	JW061844	OTHER	MI	BCBSM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609929421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANET GRAY WARNER MD

Provider Business Mailing Address
First Line	:	1101 W UNIVERSITY DR
Second Line	:
City	:	ROCHESTER
State	:	MI
Zip	:	48307-1863
Country	:	US
Telephone Number	:	248-652-5291
Fax Number	:	248-652-5817

Provider Business Practice Location Address
First Line	:	1101 W. UNIVERSITY DR
Second Line	:
City	:	ROCHESTER
State	:	MI
Zip	:	48307-1831
Country	:	US
Telephone Number	:	248-652-5291
Fax Number	:	248-652-5217

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	07/07/2009

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Directions to “ DR. JANET GRAY WARNER MD” Practice Location

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