Individual
ANDREW JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DABR
Contact information
Practice address
5203 LAKEVIEW AVE, WHITE BEAR TOWNSHIP, MN 55110-7810
(651) 202-1566
Mailing address
5203 LAKEVIEW AVE, WHITE BEAR TOWNSHIP, MN 55110-7810
Taxonomy
Speciality
Code
Description
License number
State
2085R0205X
Radiological Physics Physician
Primary
P4235
MN
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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