Individual
MATTHEW KRUEGER JENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
124 SIEGLER ST, GREEN BAY, WI 54303-2636
(920) 494-9661
(920) 496-3792
Mailing address
124 SIEGLER ST, GREEN BAY, WI 54303-2636
(920) 494-9661
(920) 496-3792
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
72686
WI
Other
Enumeration date
03/28/2018
Last updated
08/10/2021
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