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NPI Code Detail

MEDICARE: JULIE M. JANK M.D.

MEDICARE:   JULIE M. JANK  M.D.
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
1207Q00000XFamily Medicine Physician25270NE
2207Q00000XFamily Medicine PhysicianML 20009150WA

General Provider Information

NPI Number : 1851526891
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE M. JANK M.D.
Provider Business Mailing Address
First Line : 223 E 14TH ST STE 100
Second Line :
City : HASTINGS
State : NE
Zip : 68901-3240
Country : US
Telephone Number : 402-463-2929
Fax Number : 402-463-2939
Provider Business Practice Location Address
First Line : 223 E 14TH ST STE 100
Second Line :
City : HASTINGS
State : NE
Zip : 68901-3240
Country : US
Telephone Number : 402-463-2929
Fax Number : 402-463-2939
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2009
Last Update Date : 02/25/2011

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Directions to “ JULIE M. JANK M.D.” Practice Location

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