Individual
CHRISTIAN JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6000
Mailing address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
284
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42918100
—
WI
Enumeration date
11/16/2006
Last updated
07/08/2007
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