Calvin Lewis Janzen M,D.

NPI 1831225093 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1831225093
Gender Male
Enumeration Date 02/24/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
750 LAS GALLINAS AVE
SUITE 116A
SAN RAFAEL CA, 94903-3438, US
Phone (415) 479-3314
Fax (415) 479-9315
Business Location
750 LAS GALLINAS AVE
SUITE 116A
SAN RAFAEL CA, 94903-3438, US
Phone (415) 479-3314
Fax (415) 479-9315
Toxanomy
Taxonomy Code 2084P0800X
License State California
License Number G13874
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According to our database, Dr. Calvin Lewis Janzen M,D. NPI is 1831225093, taxonomy code is 2084P0800X and license number is G13874, license state is located at California. Calvin Lewis Janzen M,D. physically located at 750 Las Gallinas Ave, San Rafael CA, 94903-3438. NPI Number Calvin Lewis Janzen M,D. has the Individual type.

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1831225093 NPI number is provided on an as is basis without warranty of any kind. 1831225093 is maintained by the National Plan & Provider Enumeration System. The contents of Calvin Lewis Janzen M,D. are for informational purposes only.