Individual
STEVEN T JANOUSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3601 MINNESOTA DR STE 200, BLOOMINGTON, MN 55435-5281
(612) 879-1000
(612) 879-9116
Mailing address
3601 MINNESOTA DR STE 200, BLOOMINGTON, MN 55435-5281
(612) 879-1000
(612) 879-9116
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
32878
MN
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
32878
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
485797600
—
MN
Enumeration date
06/27/2005
Last updated
08/23/2024
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