NPI 1003044611

Samantha Rene Danek, PAC

Practitioner Physician Assistant Jackson, MI

Practice location

Address: 205 N East Ave, Jackson, MI 49201-1753
Phone: (517) 788-4811
Mailing address: PO Box 67000 Dept 272801, Detroit, MI 48267-2728

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 5601005511 (MI)

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Registry record

NPI: 1003044611
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jun 2009
Record last updated: 13 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.