Individual
BRAD ALLEN JANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1010 4TH ST SW, SUITE 100, MASON CITY, IA 50401-2857
(641) 424-0102
Mailing address
1416 6TH ST SW, MASON CITY, IA 50401-4818
(641) 424-0102
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
27993
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07225
WELLMARK BCBS OF IA
IA
05
—
1034967
—
IA
Enumeration date
05/22/2006
Last updated
02/09/2023
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