Mark A Jensen M.D.

NPI 1093715062 - Specialist - 174400000X

NPI Details
NPI 1093715062
Gender Male
Enumeration Date 07/29/2005
Last Updated 08/28/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
2217 DUBOIS DR
WARSAW IN, 46580-3212, US
Phone (574) 267-8940
Fax (574) 267-5782
Business Location
2217 DUBOIS DR
WARSAW IN, 46580-3212, US
Phone (574) 267-8940
Fax (574) 267-5782
Toxanomy
Taxonomy Code 174400000X
License State Indiana
License Number 01033577
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According to our database, Dr. Mark A Jensen M.D. NPI is 1093715062, taxonomy code is 174400000X and license number is 01033577, license state is located at Indiana. Mark A Jensen M.D. physically located at 2217 Dubois Dr, Warsaw IN, 46580-3212. NPI Number Mark A Jensen M.D. has the Individual type.

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1093715062 NPI number is provided on an as is basis without warranty of any kind. 1093715062 is maintained by the National Plan & Provider Enumeration System. The contents of Mark A Jensen M.D. are for informational purposes only.