Individual
JAMES W JANTZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00024838
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1030899
—
WA
01
—
35510
L&I
WA
Enumeration date
07/08/2006
Last updated
08/02/2013
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