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Individual
SCOTT M JENSEN
Active
Individual
SCOTT M JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26965
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26965
MEDICAL LICENSE
MN
05
—
423268200
—
MN
Enumeration date
11/30/2005
Last updated
01/02/2019
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