Mark K Jenson in Green Bay - Family Medicine

Mark K Jenson - NPI 1598727000

Mark K Jenson is a Family Medicine in Green Bay, Wisconsin. Mark K Jenson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mark K Jenson is 1598727000. The last update date is 2012-11-05.

Mark K Jenson's current location address is 124 Siegler St, Green Bay, Wisconsin. You can contact this provider via phone number 9204949661 and fax number 9204963792. The mailing address for Mark K Jenson is 124 Siegler St, Green Bay, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark K Jenson
Address 124 Siegler St, Green Bay, Wisconsin
Phone Number 9204949661
Fax Number 9204963792
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1598727000
Provider Enumeration Date 2006-04-03
Last Updated Date 2012-11-05

Provider Mailing Address Detail

Address 124 Siegler St
City Green Bay
State Wisconsin (WI)
Post Code 543032636
Phone Number 9204949661
Fax Number 9204963792

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 29927
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
31473000 WI --

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FAQs about Mark K Jenson

What is the unique identifier code issued to Mark K Jenson by the Centers for Medicare & Medicaid Services?

The Mark K Jenson has been assigned the NPI (National Provider Identifier) 1598727000. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Mark K Jenson's facilities are geographically located?

The facilities of Mark K Jenson are physically situated at the following location: 124 Siegler St, Green Bay, WI, 543032636.

What is Mark K Jenson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Mark K Jenson's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1598727000 to Mark K Jenson?

The Centers for Medicare & Medicaid Services assigned the 1598727000 to Mark K Jenson on 2006-04-03.

When was the information pertaining to Mark K Jenson most recently updated or revised?

The details related to Mark K Jenson, including its address, specialty, and other relevant information, were last updated or revised on 2012-11-05.

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