Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK J JANICKI, MD, FAAN
ActiveDR. MARK J JANICKI, MD, FAAN is a Neurology healthcare provider located in LEBANON, Indiana. NPI 1588661409 is currently active in the NPPES registry. Verify at CMS.
Neurology · LEBANON, IN
Registration Details
- NPI Number
- 1588661409
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 7, 2005 (21.147665953765 yrs)
- Last Updated
- Oct 11, 2023
- License
-
01032550A (IN)
Practice Information
- Address
-
2705 N LEBANON ST STE 265LEBANON, IN, 460528621Browse IN providers · Browse ZIP 46052
- Phone
- 7654858830
- Fax
- 7654858839
- Primary Specialty
-
Neurology
2084N0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.