Janz, Marcie Ann

Janz, Marcie Ann is an individual health care provider with primary practice located at 481 E Division St Suite 100, Fond Du Lac WI 54935-3748. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Janz, Marcie Ann can be contacted via phone (920) 929-8120.

Contact Information

Primary practice address
481 E Division St Suite 100 Fond Du Lac WI 54935-3748
Phone: (920) 929-8120
Fax: (920) 929-8126
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 28 Wisconsin
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 28 Wisconsin

Profile Details

NPI number 1164415634
LBN Legal business name Janz, Marcie Ann
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164415634 NPPES
Wisconsin MEDICAID 43817600

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