Kenneth F. Jensen JR. M.D.

NPI 1003841784 - Internal Medicine - 207R00000X

NPI Details
NPI 1003841784
Gender Male
Enumeration Date 07/11/2006
Last Updated 12/23/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
1777 W GRAND AVE
PORT WASHINGTON WI, 53074-2077, US
Phone (262) 284-3456
Fax (262) 284-4543
Business Location
3003 W GOOD HOPE RD
MILWAUKEE WI, 53209-2042, US
Phone (414) 352-3100
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Wisconsin
License Number 21735
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According to our database, Kenneth F. Jensen JR. M.D. NPI is 1003841784, taxonomy code is 207R00000X and license number is 21735, license state is located at Wisconsin. Kenneth F. Jensen JR. M.D. physically located at 1777 W Grand Ave, Port Washington WI, 53074-2077. NPI Number Kenneth F. Jensen JR. M.D. has the Individual type.

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1003841784 NPI number is provided on an as is basis without warranty of any kind. 1003841784 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth F. Jensen JR. M.D. are for informational purposes only.