Individual
DR. JACK THOMAS JANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, ATC
Contact information
Practice address
202 S IDAHO ST, GLIDDEN, IA 51443-1035
(712) 830-3153
Mailing address
202 S IDAHO ST, GLIDDEN, IA 51443-1035
(712) 830-3153
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007359
IA
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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