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NPI Code Detail

MEDICARE: KAREN E JANKOWSKI MD

MEDICARE: KAREN E 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
1207Q00000XFamily Medicine Physician46723MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
37504457OTHERNHCIGNA
44152341OTHERNHMVP
500069534OTHERVTBC/BS VT

General Provider Information

NPI Number : 1972539625
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN E JANKOWSKI MD
Provider Business Mailing Address
First Line : 2001 BLOOMINGTON AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55404-3074
Country : US
Telephone Number : 612-301-3433
Fax Number : 612-627-4205
Provider Business Practice Location Address
First Line : 2001 BLOOMINGTON AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55404-3074
Country : US
Telephone Number : 612-301-3433
Fax Number : 612-627-4205
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2006
Last Update Date : 04/18/2017

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Directions to “ KAREN E JANKOWSKI MD” Practice Location

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