Individual
DR. JEAN G JANELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5900 BOYMEL DR, FAIRFIELD, OH 45014-5526
(513) 874-9460
(513) 874-5731
Mailing address
5900 BOYMEL DR, FAIRFIELD, OH 45014-5526
(513) 874-9460
(513) 874-5731
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35034568
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0204237
—
OH
Enumeration date
01/26/2006
Last updated
10/17/2007
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