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DR. MARY JANIKOWSKI D.O.

>> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1679522379

Individual Registrant:
DR. MARY  JANIKOWSKI D.O.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1510 E WAGON WHEEL LN  FORT MOHAVE, AZ 86426-6697 US
Tel: 928-788-3333  Fax: 928-788-3555

Contact information for business:
PO BOX 10966  FORT MOHAVE, AZ 86427-0966 US
Tel: 928-788-3333  Fax: 928-788-3555

Registration Information:
NPI: 1679522379
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
NV949
N207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
AZ2596
N207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
CA20A5887
Y208VP0000XAllopathic & Osteopathic Physicians
Pain Medicine
AZ2596

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
186917AZ05
RR MEDICAREP01347407AZ01




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