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Individual

JONATHAN B JENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2450 RIVERSIDE AVE SE, 2A WEST, MINNEAPOLIS, MN 55454-1450
(612) 273-8700
(612) 273-8787
Mailing address
2450 RIVERSIDE AVE S, 2 WEST, MINNEAPOLIS, MN 55455
(612) 273-8700
(612) 273-8787

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
20799
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
082701
FAIRVIEW
MN
05
095293100
MN
01
1009157
PREFERRED ONE
MN
01
102784
U CARE
MN
01
1514059
MEDICA-CHOICE
MN
01
260026114
RR MEDICARE
MN
01
768179
ARAZ
01
8D926JE
BLUE CROSS BLUE SHIELD
MN
01
HP22358
HEALTH PARTNERS
MN
Enumeration date
09/28/2006
Last updated
01/16/2018
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