Jedediah Lars Jensen, DO

NPI #1952621872 in Burlington, Wisconsin

Provider Information

NPI Number: 1952621872
Entity Type: Individual
Name: Jedediah Lars Jensen, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine - Sports Medicine
Credential: DO
Enumeration Date: Jun 2, 2010
Last Updated: Dec 6, 2021

Practice Location

Address: 709 SPRING VALLEY RD
City: Burlington
State: Wisconsin
ZIP Code: 53105-7614
Phone: (262) 971-1900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Orthopaedic Surgery - Sports Medicine — Sports Medicine	207XX0005X
Pediatrics	208000000X
Internal Medicine - Sports Medicine — Sports Medicine	207RS0010X	Primary

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