Individual
CYNTHIA S JANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
10705 TOWN SQUARE DR NE STE 210, BLAINE, MN 55449-8187
(763) 284-2992
(763) 427-8131
Mailing address
820 SPRINGER DR, LOMBARD, IL 60148-6413
(815) 744-8554
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
764480900
—
MN
Enumeration date
12/06/2005
Last updated
01/25/2022
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