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Dr. Jack Komro, DO
Student in an Organized Health Care Education/Training Program in Warren, Michigan
NPI 1134700719

Jack Komro is a Student in an Organized Health Care Education/Training Program based in Royal Oak, MI. Jack Komro practices in Warren, MI and has the professional credentials of DO. The NPI Number for Jack Komro is 1134700719 and holds a License No. (Michigan).

The current practice location address for Jack Komro is 30117 Schoenherr Rd Ste 400, Warren, MI and can be reached out via phone at 586-738-9470 and via fax at 586-738-9469. You can also correspond with Jack Komro through the mailing address at 3531 GREENWAY AVE, ROYAL OAK, MI - 48073-2216 (mailing address contact number: 715-495-5640).

Location: 30117 Schoenherr Rd Ste 400, Warren, MI, 48073-2216
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134700719
Provider Name
Jack Komro
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
30117 Schoenherr Rd Ste 400, Warren, MI, 48073-2216
Phone Number
586-738-9470
Fax Number
586-738-9469
Provider Enumeration Date
04/15/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
30117 Schoenherr Rd Ste 400
City
Warren
State
Michigan
Zip
48088-6854
Phone Number
586-738-9470
Fax Number
586-738-9469
person
Provider Business Mailing Address Details
Address
30117 Schoenherr Rd Ste 400
City
Warren
State
Michigan
Zip
48088-6854
Phone Number
586-738-9470
Fax Number
586-738-9469
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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