JAN AXELBAUM

BELLEVILLE, IL
NPI1356581730
Former NameJAN MIROWITZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208M00000X Hospitalist
(Licence: IL  036138448)
Additional Taxonomies207R00000X Internal Medicine
(Licence: MO  2002001971)
208M00000X Hospitalist
(Licence: MO  2002001971)
Enumeration Date2009-02-25
Last Update Date2015-06-30
Business Address
-- JAN AXELBAUM MD
211 S 3RD ST
BELLEVILLE, IL 62220-1915
Phone number: 618-234-2120
Mailing Address
-- JAN AXELBAUM MD
211 S 3RD ST
BELLEVILLE, IL 62220-1915
Phone number: 618-234-2120