ROBERT JANSEN

MYRTLE BEACH, SC
NPI1316180847
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: SC  MD36653)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2009-04-14
Last Update Date2015-05-01
Business Address
-- ROBERT JANSEN
823 82ND PKWY
MYRTLE BEACH, SC 29572-4607
Phone number: 843-449-1010
Mailing Address
-- ROBERT JANSEN
2234 COLONIAL BLVD ATTN: PAYER CONTRACTING & RELATIONS DEPT.
FORT MYERS, FL 33907-1412
Phone number: 239-931-7342