Eric  W  Janssen    MD
Contract Details
SportsMed Orthopaedic Surgery & Spine Center
Facility name
Provider ID
P000000835
NPI
1831145978
Tax ID
631262177
Effective Date
9/19/1994
Last Updated
10/24/2016
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_285
Location Details
Address
1701 Main Avenue Suite G
Cullman, AL 35055
United States
County
Cullman
Phone
2567275688 (Phone)
Billing Details
Address
4715 Whitesburg Drive
Huntsville, AL 35802
Billing Phone
2568815151
Specialty Type
Sports Medicine
Map
Address