Individual
STEVEN LEROY JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1117 S WASHINGTON AVE, SAGINAW, MI 48601-2558
(989) 791-4020
(989) 921-8765
Mailing address
1117 S WASHINGTON AVE, SAGINAW, MI 48601-2558
(989) 791-4020
(989) 921-8765
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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