IndividualActive
Michael Janitch, MD
NPI 1366438798 · Plastic and Reconstructive Surgery Physician · Green Bay, WI
Provider details
- NPI number
- 1366438798
- Entity type
- Individual
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 42240020 (WI)
Practice location
1715 Dousman St
Green Bay, WI 54303-3211
Phone: (920) 496-4700
Fax: (920) 405-1432
Mailing address
2461 Holmgren Way
Green Bay, WI 54304-5224
Registry dates
- Enumerated
- 2005-09-21
- Last updated
- 2019-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.