| Kenneth F Jensen Jr, MD | |
|
1777 W Grand Ave, Port Washington, WI 53074-2077 | |
| (262) 284-3456 | |
| (262) 284-4543 |
| Full Name | Kenneth F Jensen Jr |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 1777 W Grand Ave, Port Washington, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003841784 | NPI | - | NPPES |
| P00449578 | Other | WI | RR MEDICARE |
| 30317300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 21735 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth F Jensen Jr, MD 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 Ph: (414) 352-3100 | Kenneth F Jensen Jr, MD 1777 W Grand Ave, Port Washington, WI 53074-2077 Ph: (262) 284-3456 |
Erik Riley Jeanes, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1475 W Grand Ave, Port Washington, WI 53074 Phone: 262-268-5100 | |
Mark S Bostwick, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1777 W Grand Avenue, Port Washington, WI 53074 Phone: 262-284-3456 Fax: 262-284-4543 | |
Douglas B Mcmanus, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1777 W Grand Avenue, Port Washington, WI 53074 Phone: 262-284-3456 Fax: 262-284-4543 |