Grace M Janik is a Specialist in Milwaukee, Wisconsin. Grace M Janik practices all healthcare services and medical treatments related to Specialist. The NPI Number for Grace M Janik is 1871693176. The last update date is 2007-11-13.
Grace M Janik's current location address is 2015 E Newport Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 4142899668 and fax number 4142890498. The mailing address for Grace M Janik is 2015 E Newport Ave, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Grace M Janik |
|---|---|
| Address | 2015 E Newport Ave, Milwaukee, Wisconsin |
| Phone Number | 4142899668 |
| Fax Number | 4142890498 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1871693176 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2007-11-13 |
Provider Mailing Address Detail
| Address | 2015 E Newport Ave |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532112984 |
| Phone Number | 4142899668 |
| Fax Number | 4142890498 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 27674-020 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 391345728029 | WI | ANTHEM BLUE CROSS BLUE SH |
Post Comment/ Review Below
What is the unique identification code assigned to Grace M Janik by the Centers for Medicare & Medicaid Services?
The Grace M Janik has been issued the NPI (National Provider Identifier) 1871693176. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Grace M Janik?
The Grace M Janik is situated at 2015 E Newport Ave, in the city of Milwaukee, state of WI, with the zip code 532112984.
What is Grace M Janik's area of expertise and its corresponding taxonomy classification?
The Grace M Janik's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1871693176 to Grace M Janik?
The Grace M Janik received its 1871693176 assignment from the Centers for Medicare & Medicaid Services on 2006-09-25.
As of what date were the details related to Grace M Janik most recently updated or revised?
The information pertaining to Grace M Janik, including its address, specialty, and other relevant details, was last updated or revised on 2007-11-13.
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