Provider Demographics
NPI:1265878466
Name:JANSEN, MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:JANSEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:5150 E YALE CIR STE 400
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-6936
Mailing Address - Country:US
Mailing Address - Phone:720-443-2425
Mailing Address - Fax:720-328-5369
Practice Address - Street 1:5150 E YALE CIR STE 400
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-6936
Practice Address - Country:US
Practice Address - Phone:720-443-2425
Practice Address - Fax:720-328-5369
Is Sole Proprietor?:No
Enumeration Date:2013-05-14
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0068259207W00000X
NY288006207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology