Individual
JAN JANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1717 6TH AVE S, BIRMINGHAM, AL 35233-1801
(800) 822-8816
Mailing address
1717 6TH AVE S, BIRMINGHAM, AL 35233-1801
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
L.4614F
AL
Other
Enumeration date
11/07/2017
Last updated
10/25/2022
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