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NPI Code Detail

MEDICARE: JAN GRIESSMANN

MEDICARE: JAN GRIESSMANN
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
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1619819869
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAN GRIESSMANN
Provider Business Mailing Address
First Line : 28175 HAGGERTY RD
Second Line :
City : NOVI
State : MI
Zip : 48377-2903
Country : US
Telephone Number : 734-201-4846
Fax Number :
Provider Business Practice Location Address
First Line : 28175 HAGGERTY RD
Second Line :
City : NOVI
State : MI
Zip : 48377-2903
Country : US
Telephone Number : 734-201-4846
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2026
Last Update Date : 04/07/2026

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Directions to “ JAN GRIESSMANN ” Practice Location

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