Provider Demographics
NPI:1770526857
Name:JENSEN, ERIC HANS (MD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:HANS
Last Name:JENSEN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:420 DELAWARE ST SE, MMC 195
Mailing Address - Street 2:UNIVERSITY OF MINNESOTA PHYSICIANS
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455
Mailing Address - Country:US
Mailing Address - Phone:612-625-5411
Mailing Address - Fax:612-625-6137
Practice Address - Street 1:420 DELAWARE ST SE, MMC 195
Practice Address - Street 2:UNIVERSITY OF MINNESOTA PHYCIANS
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455
Practice Address - Country:US
Practice Address - Phone:612-625-5411
Practice Address - Fax:612-625-6137
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2015-06-04
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Provider Licenses
StateLicense IDTaxonomies
MN489232086X0206X
NY2356152086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology