Individual
DR. LEO DEAN JANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2124 N BIOMET DR, WARSAW, IN 46582-7858
(574) 267-2663
(574) 267-4408
Mailing address
2124 N BIOMET DR, WARSAW, IN 46582-7858
(574) 267-2663
(574) 267-4408
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01043641A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200029900
—
IN
01
—
P00249879
RR MEDICARE
IN
Enumeration date
12/16/2005
Last updated
10/28/2009
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