Individual
DR. JENNIFER L KLENSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
611 E SHERMAN AVE, FORT ATKINSON, WI 53538-1960
(920) 568-5000
(920) 568-4004
Mailing address
PO BOX 249, FORT ATKINSON, WI 53538-0249
(920) 568-5411
(920) 568-4004
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-099993
IL
207R00000X
Internal Medicine Physician
Primary
44245
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036099993 1
—
IL
05
—
34184600
—
WI
Enumeration date
12/11/2006
Last updated
11/16/2017
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