Provider Demographics
NPI:1669633988
Name:JENS, BRUCE (DVM)
Entity Type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:
Last Name:JENS
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1848 WALDORF BLVD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53719-4562
Mailing Address - Country:US
Mailing Address - Phone:608-845-0002
Mailing Address - Fax:608-845-2200
Practice Address - Street 1:1848 WALDORF BLVD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53719-4562
Practice Address - Country:US
Practice Address - Phone:608-845-0002
Practice Address - Fax:608-845-2200
Is Sole Proprietor?:No
Enumeration Date:2008-06-19
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5078-50174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian