Edward G. Jankowski M.D. P.C.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

4301048196 Issued in MI

Legal business name

EDWARD G. JANKOWSKI M.D. P.C.

Practice address

20867 Mack Ave
Suite 2
Grosse Pointe Woods, MI 48236-1356

Phone

(313) 884-4080

Fax

(313) 884-3769

NPI assigned

Dec 20, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Edward G. Jankowski, M.D.

Title

President

Phone

(313) 884-4080

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292803200000",
    "number": "1033412747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20867 MACK AVE",
            "address_2": "SUITE 2",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361356",
            "telephone_number": "313-884-4080",
            "fax_number": "313-884-3769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20867 MACK AVE",
            "address_2": "SUITE 2",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361356",
            "telephone_number": "313-884-4080",
            "fax_number": "313-884-3769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD G. JANKOWSKI M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-20",
        "last_updated": "2010-12-20",
        "status": "A",
        "authorized_official_last_name": "JANKOWSKI",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-884-4080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "4301048196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Otolaryngology Physician in Grosse Pointe Woods, MI
• Providers in Grosse Pointe Woods, MI by specialty
• Otolaryngology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.