Individual
STEPHEN JANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2801 DEBARR RD, ANCHORAGE, AK 99508-2932
(907) 227-7096
Mailing address
PO BOX 202149, ANCHORAGE, AK 99520-2149
(907) 677-1922
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
6175
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2475
—
AK
01
—
P00422266
MEDICARE RAILROAD ID #
AK
Enumeration date
04/25/2007
Last updated
02/19/2008
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