Provider Demographics
NPI:1356307276
Name:WERNER, JANE C (MD)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:C
Last Name:WERNER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1560 E. MAPLE RD.
Mailing Address - Street 2:SUITE 400 - CREDENTIALING
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-1135
Mailing Address - Country:US
Mailing Address - Phone:248-581-5977
Mailing Address - Fax:248-581-5640
Practice Address - Street 1:5333 MCAULEY DR
Practice Address - Street 2:SUITE 4011
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-1014
Practice Address - Country:US
Practice Address - Phone:734-712-7550
Practice Address - Fax:734-712-7576
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2015-03-02
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Provider Licenses
StateLicense IDTaxonomies
MI4301060291207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI7318OtherCAPE HEALTH PLAN
MIC1230OtherMCARE
MI4229750Medicaid
MIP00164626OtherRAILROAD MEDICARE
MI103836OtherPREFERRED CHOICES PPO
MI103836OtherCARE CHOICE
MI1808129481OtherBCBS
MI7318OtherCAPE HEALTH PLAN
MID21189Medicare UPIN
MI103836OtherPREFERRED CHOICES PPO