Organization
DONALD H JANSEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD HENRY JANSEN 5138910445 (OWNER)
(513) 891-0445
Entity
Organization
Contact information
Practice address
9030 MONTGOMERY RD, CINCINNATI, OH 45242-0486
(513) 891-0445
Mailing address
9030 MONTGOMERY RD, CINCINNATI, OH 45242-0486
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0029687
—
OH
Enumeration date
11/29/2007
Last updated
11/29/2007
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