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Individual

HANS C JENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-5330
Mailing address
202 S PARK ST, MADISON, WI 53715-1507

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
1697
WI
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
50908
WI

Other

Enumeration date
05/09/2006
Last updated
02/08/2013
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