Individual
DR. JAN JANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
1600 ALBANY ST, 6 TOWER, BEECH GROVE, IN 46107-1541
(317) 865-5500
(317) 782-6316
Mailing address
1500 ALBANY ST, SUITE 911, BEECH GROVE, IN 46107-1555
(317) 865-5500
(317) 782-6316
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01000005
IN
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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