Organization
JANSEN ORTHOPAEDIC CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEO DEAN JANSEN M.D. (MD/OWNER)
(574) 267-2663
Entity
Organization
Contact information
Practice address
2124 N BIOMET DR, WARSAW, IN 46582-7858
(574) 267-2663
Mailing address
2124 N BIOMET DR, WARSAW, IN 46582-7858
(574) 267-2663
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200522700A
—
IN
01
—
DD7695
RR MEDICARE
IN
Enumeration date
12/16/2005
Last updated
01/16/2009
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