Provider Demographics
NPI:1609983659
Name:WASHINGTON, JANIE M (MD)
Entity Type:Individual
Prefix:DR
First Name:JANIE
Middle Name:M
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JANIE
Other - Middle Name:MARIE
Other - Last Name:WASHINGTON
Other - Suffix:
Other - Last Name Type:Doing Business As
Other - Credentials:
Mailing Address - Street 1:3301 W FOREST HOME AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53215-2843
Mailing Address - Country:US
Mailing Address - Phone:414-647-6326
Mailing Address - Fax:414-671-8860
Practice Address - Street 1:1575 N RIVERCENTER DR
Practice Address - Street 2:#124
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53212-3965
Practice Address - Country:US
Practice Address - Phone:414-283-8444
Practice Address - Fax:414-283-8450
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI26071207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI30859800Medicaid
WI30859800Medicaid
WI30859800Medicaid