Individual
THOMAS C. JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
910 FREMONT ST, STEVENS POINT, WI 54481-3105
(715) 346-4646
Mailing address
910 FREMONT ST, STEVENS POINT, WI 54481-3105
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
89-023
WI
Other
Enumeration date
12/03/2007
Last updated
12/03/2007
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