Individual
JODINE L JANZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
120 1ST AVE E, CAMBRIDGE, MN 55008-1209
(763) 689-1494
(763) 691-8395
Mailing address
120 1ST AVE E, CAMBRIDGE, MN 55008-1209
(763) 689-1494
(763) 691-8395
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
2586
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1014827
PREFERRED ONE
MN
01
—
2201810
MEDICA
MN
05
—
321025100
—
MN
01
—
410047970
RAILROAD MEDICARE
MN
01
—
64G67JA
BLUECROSS BLUESHIELD
MN
Enumeration date
09/14/2005
Last updated
02/04/2010
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