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Individual
MICHAEL JAN
Active
Individual
MICHAEL JAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD, MPH
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A149900
CA
207R00000X
Internal Medicine Physician
Primary
MD468777
PA
207R00000X
Internal Medicine Physician
MT206871
PA
Other
Enumeration date
05/15/2014
Last updated
01/28/2021
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