Individual
JANN BELANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
620 14TH AVE NE, DEVILS LAKE, ND 58301-2808
(763) 689-5385
(763) 689-5558
Mailing address
1521 SWEETWATER DR NE, DEVILS LAKE, ND 58301-1635
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
376
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15646
BLUE CROSS BLUE SHIELD
ND
05
—
59922
—
ND
01
—
6411235
MEDICA
MN
01
—
8B755BE
BLUE CROSS BLUE SHIELD
MN
Enumeration date
09/22/2006
Last updated
07/09/2007
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