Individual
ALAN R JANSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
81072
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43304700
—
WI
Enumeration date
09/26/2006
Last updated
02/03/2010
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