Michael Jensen

NPI #1629469366 in Stevens Point, Wisconsin

Provider Information

NPI Number: 1629469366
Entity Type: Individual
Name: Michael Jensen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Feb 17, 2015
Last Updated: Feb 17, 2015

Practice Location

Address: 1500 PINECREST AVE
City: Stevens Point
State: Wisconsin
ZIP Code: 54481-4326
Phone: (715) 345-7175

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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