Jaclyn Esther Michniak
NPI #1801447768 in South Lyon, Michigan
Provider Information
- NPI Number
- 1801447768
- Entity Type
- Individual
- Name
- Jaclyn Esther Michniak
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Sep 23, 2019
- Last Updated
- Apr 21, 2025
Practice Location
- Address
- 11401 N RUSHTON RD
- City
- South Lyon
- State
- Michigan
- ZIP Code
- 48178-9123
- Phone
- (248) 996-0421
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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