Individual
DR. MICHAEL JOSEPH JANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4645 NW 8TH AVE, GAINESVILLE, FL 32605-4524
(352) 375-1212
(352) 371-4650
Mailing address
4645 NW 8TH AVE, GAINESVILLE, FL 32605-4524
(352) 375-1212
(352) 371-4650
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME115185
FL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
ME 115185
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008970600
—
FL
Enumeration date
04/04/2007
Last updated
08/25/2016
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