# STEVEN LEROY JENSEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1154314193
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 4301067565 | MI | Yes |
| 2088P0231X | Pediatric Urology Physician | SJ067565 | MI | — |

## Other

- **Enumeration date:** 08/24/2005
- **Last updated:** 09/20/2023

## 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 |