Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEDEDIAH LARS JENSEN, DO
ActiveJEDEDIAH LARS JENSEN, DO is a Sleep Medicine healthcare provider located in BURLINGTON, Wisconsin. NPI 1952621872 is currently active in the NPPES registry. Verify at CMS.
Sleep Medicine · BURLINGTON, WI
Registration Details
- NPI Number
- 1952621872
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 2, 2010 (16.216809499209 yrs)
- Last Updated
- Dec 6, 2021
- Licenses
-
5101018776 (MI)5101018776 (MI)5101018776 (MI)73430 (WI)
Practice Information
- Address
-
709 SPRING VALLEY RDBURLINGTON, WI, 531057614Browse WI providers · Browse ZIP 53105
- Phone
- 2629711900
- Primary Specialty
-
Sleep Medicine
207RS0010X
- Additional Specialty
- Adult Reconstructive Orthopaedic Surgery
- Additional Specialty
- Pediatrics
- Additional Specialty
- Sleep Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.