Individual
MICHAEL JENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6025 LAKE RD STE 200, WOODBURY, MN 55125-1710
(651) 999-6800
(833) 905-0989
Mailing address
6025 LAKE RD STE 200, WOODBURY, MN 55125-1710
(651) 999-6800
(651) 999-6970
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12473
MN
Other
Enumeration date
04/12/2017
Last updated
08/11/2023
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