Individual
DR. JIANJUN MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 N 1ST ST, SPRINGFIELD, IL 62702-3719
(217) 528-7541
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036129491
IL
207XS0106X
Orthopaedic Hand Surgery Physician
036129491
IL
Other
Enumeration date
09/25/2007
Last updated
05/21/2020
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