# ROBERT JANSEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1316180847
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | MD36653 | SC | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | — | — |

## Other

- **Enumeration date:** 04/14/2009
- **Last updated:** 04/30/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1010218 | WELLCARE | SC |
| 05 | — | 1316180847 | — | NC |
| 05 | — | 366534 | — | SC |
| 01 | — | 4789482 | AETNA | SC |
| 01 | — | RR MEDICARE | P01378093 | SC |