Provider Demographics
NPI:1619253002
Name:JANSSEN, CURT (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:CURT
Middle Name:
Last Name:JANSSEN
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:W2012 FINNIGANS RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:FREEDOM
Mailing Address - State:WI
Mailing Address - Zip Code:54130-7187
Mailing Address - Country:US
Mailing Address - Phone:920-562-9791
Mailing Address - Fax:
Practice Address - Street 1:700 W COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54914-5265
Practice Address - Country:US
Practice Address - Phone:920-733-6599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-29
Last Update Date:2011-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI15538-40183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist