Individual
MR. TODD MATTHEW JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2501 W 22ND ST, SIOUX FALLS, SD 57105-1305
(605) 336-3230
Mailing address
1516 S SHERMAN AVE, SIOUX FALLS, SD 57105-2223
(605) 330-0258
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CR000727
SD
Other
Enumeration date
06/04/2009
Last updated
06/04/2009
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