Individual
JOHN W JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-8250
(920) 288-8255
Mailing address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-8100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3338
WI
Other
Enumeration date
06/03/2014
Last updated
12/06/2021
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