Individual
MR. JOHN GERARD JANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1800 PLOVER RD, PLOVER, WI 54467-3978
(715) 342-9613
(715) 342-9244
Mailing address
1800 PLOVER RD, PLOVER, WI 54467-3978
(715) 342-9613
(715) 342-9244
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12285-040
WI
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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