Dr. Guy J Jensen
Oral and Maxillofacial Pathology
464 S Hickory St Suite A
Fond du Lac
, Wisconsin 54935-5531
Dr. Guy J Jensen
Oral and Maxillofacial Pathology
464 S Hickory St Suite A
Fond du Lac
, Wisconsin 54935-5531
(920) 923-0366
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Dr. Guy J Jensen
- 464 S Hickory St Suite A
- Fond Du Lac, WI
- Zip : 54935-5531
- Fax : (920) 923-0366
- Phone : (920) 923-0111
Second Address
- Dr. Guy J Jensen
- 464 S Hickory St Suite A
- Fond Du Lac, WI
- Zip : 54935-5531
- Fax : (920) 923-0366
- Phone : (920) 923-0111
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0106X | Oral and Maxillofacial Pathology | 5001856 | WI |
National Provider Identifier
| NPI | 1225137227 |
|---|---|
| Provider Name | Dr. Guy J Jensen |
| First Address | Fond Du Lac, WI 54935-5531 |
| Second Address | Fond Du Lac, WI 54935-5531 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/09/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.