Provider Demographics
NPI:1932152071
Name:TALMO, JANET (MD)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:TALMO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2810 CHARLEVOIX AVENUE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:PETOSKEY
Mailing Address - State:MI
Mailing Address - Zip Code:49770-8421
Mailing Address - Country:US
Mailing Address - Phone:231-347-1900
Mailing Address - Fax:231-347-1988
Practice Address - Street 1:3890 CHARLEVOIX RD STE 230
Practice Address - Street 2:
Practice Address - City:PETOSKEY
Practice Address - State:MI
Practice Address - Zip Code:49770-8420
Practice Address - Country:US
Practice Address - Phone:231-347-1900
Practice Address - Fax:231-347-1988
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-18
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301049260207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIE31691Medicare UPIN