| Jan Medical Inc | |
|
45686 S Lake Dr Novi MI 48377-3919 | |
| (248) 921-5593 | |
| Not Available |
| Full Name | Jan Medical Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 45686 S Lake Dr, Novi, Michigan |
| Authorized Official Name and Position | Loren Chudler (CEO) |
| Authorized Official Contact | 2489215593 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jan Medical Inc 45686 S Lake Dr Novi MI 48377-3919 Ph: (248) 921-5593 | Jan Medical Inc 45686 S Lake Dr Novi MI 48377-3919 Ph: (248) 921-5593 |
| NPI Number | 1992285118 |
|---|---|
| Provider Enumeration Date | 08/16/2018 |
| Last Update Date | 06/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992285118 | NPI | - | NPPES |
| 1164477816 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101012791 (Michigan) | Primary |
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