Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 35094149 | OH |
N | 208600000X | Surgeon | 35094149 | OH |
N | 208200000X | Surgeon | D67637 | MD |
N | 208600000X | Surgeon | D67637 | MD |
N | 2082S0105X | Plastic Hand Surgeon | 35094149 | OH |
Y | 2082S0105X | Plastic Hand Surgeon | D67637 | MD |
NPI | 1003079435 |
---|---|
Provider Name | Dr. Brian Andrew Janz |
First Address | Owings Mills, MD 21117-5461 |
Second Address | Owings Mills, MD 21117-5461 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2008 |
Last Update Date | 30/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
226205300 | (05) | MD |
2983893 | (05) | OH |