Individual
TYLER SCOTT JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11558 N PORT WASHINGTON RD, MEQUON, WI 53092-3416
(262) 241-7983
(262) 241-8231
Mailing address
11558 N PORT WASHINGTON RD, MEQUON, WI 53092-3416
(262) 241-7983
(262) 241-8231
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
19444-40
WI
Other
Enumeration date
11/15/2020
Last updated
11/15/2020
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