Individual
MICHELLE A JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
225 MEMORIAL DR, BERLIN, WI 54923-1243
(920) 361-1313
(920) 361-5979
Mailing address
225 MEMORIAL DR, BERLIN, WI 54923-1243
(920) 361-1313
(920) 361-5979
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/22/2009
Last updated
10/22/2009
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