Individual
DANIEL JANSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPAS
Contact information
Practice address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(605) 347-2511
Mailing address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(605) 347-2511
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
364
WY
Other
Enumeration date
10/06/2006
Last updated
03/18/2024
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