Individual
GARRETT L JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 948-1962
(317) 695-1839
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
01088288A
IN
390200000X
Student in an Organized Health Care Education/Training Program
664384
TX
Other
Enumeration date
05/03/2017
Last updated
09/26/2022
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