Search › Minnesota › 101YA0400X
Shane Jensen
NPI 1053966069 · on the registry since 2019
Practice
- Address
- 610 22nd Ave S
Minneapolis, MN 55454 - Phone
- (612) 330-1170
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-08-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota