Individual
DR. JOHN PETER JANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-5000
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301105581
MI
207P00000X
Emergency Medicine Physician
Primary
MD2018-0661
NM
Other
Enumeration date
05/17/2014
Last updated
08/08/2018
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