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Individual

DR. MARTIN L. JANSSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
402 W LAKE ST, FRIENDSHIP, WI 53934-9699
(608) 339-3331
(608) 339-6975
Mailing address
PO BOX 40, FRIENDSHIP, WI 53934-0040
(608) 339-3331
(608) 339-6975

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
13648
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30970700
WI
Enumeration date
03/16/2006
Last updated
08/13/2012
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