Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 7483 | SD |
N | 2081P2900X | Pain Medicine | A102893 | CA |
NPI | 1063686186 |
---|---|
Provider Name | Dr. Christopher Janssen |
First Address | Sioux Falls, SD 57117-5074 |
Second Address | Sioux Falls, SD 57104-9890 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2008 |
Last Update Date | 08/10/2015 |