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1568414712

NPI Code Detail

MEDICARE: JEAN JOSEPH DANSEREAU MD

MEDICARE: JEAN JOSEPH DANSEREAU MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	A44031	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568414712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEAN JOSEPH DANSEREAU MD

Provider Business Mailing Address
First Line	:	141 FLAG WAY
Second Line	:
City	:	PASO ROBLES
State	:	CA
Zip	:	93446-3439
Country	:	US
Telephone Number	:	805-591-9806
Fax Number	:

Provider Business Practice Location Address
First Line	:	520 E TULARE AVE
Second Line	:
City	:	VISALIA
State	:	CA
Zip	:	93292-3629
Country	:	US
Telephone Number	:	559-623-0931
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	02/14/2025

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Directions to “ JEAN JOSEPH DANSEREAU MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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