Individual
DR. BRIAN LEE JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3049 MICHIGAN AVENUE, STEVENS POINT, WI 54481
(715) 341-2644
(715) 341-2644
Mailing address
3049 MICHIGAN AVENUE, STEVENS POINT, WI 54481
(715) 341-2644
(715) 341-2644
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2412-012
WI
111N00000X
Chiropractor
2412012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350053550
RAILROAD MEDICARE
WI
05
—
38839400
—
WI
Enumeration date
12/02/2005
Last updated
12/02/2008
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