Dorene R Jensen, PA
Physician Assistant, Medical in La Crosse, WI. Individual provider (NPI-1).
NPI number1386640407
StatusActive
Last updated in NPPESSep 14, 2015
Details
- NPI
- 1386640407
- Entity type
- Individual (NPI-1)
- Name
- Dorene R Jensen
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 23, 2005
- Last updated
- Sep 14, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 1212 | WI | Yes |
Practice location
1836 South AveLa Crosse, WI 54601-5429
Phone 608-782-7300
Mailing address
1836 South AveLa Crosse, WI 54601-5429
Phone 608-782-7300
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All 141 Medical Physician Assistant providers in La Crosse · All 4,035 providers in La Crosse
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