Organization
JANNING ENT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN HEINZ JANNING M.D. (OWNER)
(320) 231-3277
Entity
Organization
Contact information
Practice address
1801 19TH AVE SW, WILLMAR, MN 56201-4946
(320) 231-3277
(320) 214-5758
Mailing address
1801 19TH AVE SW, WILLMAR, MN 56201-4946
(320) 231-3277
(320) 214-5758
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
40016
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268023800
—
MN
01
—
313S2JA
BLUE CROSS BLUE SHIELD
MN
01
—
P00251507
RAILROAD MEDICARE
MN
Enumeration date
07/05/2006
Last updated
10/10/2024
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