Individual
DR. CHRIS ROBERT JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 E HILLCREST AVE, INDIANOLA, IA 50125-9027
(515) 961-3700
(515) 962-0160
Mailing address
301 E HILLCREST AVE, INDIANOLA, IA 50125-9027
(515) 961-3700
(515) 962-0160
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01052736A
IN
207Q00000X
Family Medicine Physician
Primary
MD-37321
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942298088
—
IA
01
—
P00624147
RR MEDICARE
IA
Enumeration date
10/12/2005
Last updated
03/11/2015
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