Individual
DR. STEPHAN H JANNACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
109 BRIDGE ST STE 300, DANVILLE, VA 24541-1222
(434) 793-4711
(434) 797-2514
Mailing address
109 BRIDGE ST STE 300, DANVILLE, VA 24541-1222
(434) 793-4711
(434) 792-0124
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101244341
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101244341
LICENSE #
VA
Enumeration date
09/09/2008
Last updated
03/07/2023
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