Jason Fanselau, CNIM
NPI #1942654280 in Kansas City, Missouri
Provider Information
- NPI Number
- 1942654280
- Entity Type
- Individual
- Name
- Jason Fanselau, CNIM
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist, Other - Electroneurodiagnostic
- Credential
- CNIM
- Enumeration Date
- Apr 22, 2016
- Last Updated
- Apr 22, 2016
Practice Location
- Address
- 128 W 13TH ST
- Address 2
- APT 1011
- City
- Kansas City
- State
- Missouri
- ZIP Code
- 64105-1726
- Phone
- (972) 489-6170
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other - Electroneurodiagnostic — Electroneurodiagnostic |
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