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Individual
STEVEN LEROY JENSEN
Active
Individual
STEVEN LEROY JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301067565
MI
2088P0231X
Pediatric Urology Physician
SJ067565
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
340013817
RAILROAD MEDICARE
MI
01
—
340019587
TRICARE
MI
01
—
340G310500
BLUE CROSS AND BLUE SHIEL
MI
01
—
3J770113
HEALTHPLUS
MI
05
—
4153080
—
MI
05
—
4153090
—
MI
01
—
5377212
AETNA
MI
01
—
M033277
CHAMPUS
MI
Enumeration date
08/24/2005
Last updated
09/20/2023
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