Frederick A. Jensen M.D.

NPI 1083715296 - Specialist - 174400000X

NPI Details
NPI 1083715296
Gender Male
Enumeration Date 09/26/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
402 BLACK HILLS LN SW
SUITE D
OLYMPIA WA, 98502-8145, US
Phone (360) 754-7881
Fax (360) 357-4974
Business Location
402 BLACK HILLS LN SW
SUITE D
OLYMPIA WA, 98502-8145, US
Phone (360) 754-7881
Fax (360) 357-4974
Toxanomy
Taxonomy Code 174400000X
License State Washington
License Number MD00028618
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According to our database, Dr. Frederick A. Jensen M.D. NPI is 1083715296, taxonomy code is 174400000X and license number is MD00028618, license state is located at Washington. Frederick A. Jensen M.D. physically located at 402 Black Hills Ln Sw, Olympia WA, 98502-8145. NPI Number Frederick A. Jensen M.D. has the Individual type.

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1083715296 NPI number is provided on an as is basis without warranty of any kind. 1083715296 is maintained by the National Plan & Provider Enumeration System. The contents of Frederick A. Jensen M.D. are for informational purposes only.