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Ellen Amanda Janetzke, MD
Specialist in Bloomfield Hills, Michigan
NPI 1235120742

Ellen Amanda Janetzke is a Specialist based in Bloomfield Hills, MI. Ellen Amanda Janetzke practices in Bloomfield Hills, MI and has the professional credentials of MD. The NPI Number for Ellen Amanda Janetzke is 1235120742 and holds a License No. 4301066875 (Michigan).

The current practice location address for Ellen Amanda Janetzke is 60 W Big Beaver Rd Ste 100, Bloomfield Hills, MI and can be reached out via phone at 248-258-5100.

Location: 60 W Big Beaver Rd Ste 100, Bloomfield Hills, MI, 48304-3913
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235120742
Provider Name
Ellen Amanda Janetzke
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
60 W Big Beaver Rd Ste 100, Bloomfield Hills, MI, 48304-3913
Phone Number
248-258-5100
Fax Number
Provider Enumeration Date
11/03/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4427695 05 MI
0634039 01 MI BLUE CROSS BLUE SHIELD
7316280 01 MI AETNA
institution
Provider Business Practice Location Address Details
Address
60 W Big Beaver Rd Ste 100
City
Bloomfield Hills
State
Michigan
Zip
48304-3913
Phone Number
248-258-5100
Fax Number
person
Provider Business Mailing Address Details
Address
60 W Big Beaver Rd Ste 100
City
Bloomfield Hills
State
Michigan
Zip
48304-3913
Phone Number
248-258-5100
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
4301066875 (Michigan)
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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