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Individual

DR. BRIAN DOUGLAS JENKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1305 W AMERICAN DR, NEENAH, WI 54956-1993
(800) 201-1194
(920) 720-7392
Mailing address
1305 W AMERICAN DR, NEENAH, WI 54956-1993
(800) 201-1194
(920) 720-7392

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5101015609
MI

Other

Enumeration date
01/24/2006
Last updated
03/05/2012
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