Individual
DR. STEPHEN M. JENSEN
Active
Individual
DR. STEPHEN M. JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0116025046
VA
207R00000X
Internal Medicine Physician
Primary
64040
WI
207R00000X
Internal Medicine Physician
O-1547
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64040
WI STATE LIC
WI
01
—
O-1547
IDAHO STATE MEDICAL LICENSE
ID
Enumeration date
06/24/2012
Last updated
06/17/2026
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