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Contact Information

COLLEEN JANNESS, P.A.-C
13450 EAST 12 MILE RD
ADVANCED DERMATOLOGY OF MICHIGAN, PC
WARREN, MI48088
 Phone: 586-219-5960
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for COLLEEN JANNESS · (Female)

NPI # 1396071361
Status Active
Credentials P.A.-C
Entity Individual
Enumeration date 10/27/2009
Last updated 07/29/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s)
  • ST JOSEPH MERCY HOSPITAL - (Acute Care)
    5301 E HURON RIVER DR
    ANN ARBOR, MI 48106
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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