Provider Demographics
NPI:1780695437
Name:JENSEN, ELIZABETH MARSH (DO)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:MARSH
Last Name:JENSEN
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:PO BOX 5074
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57117-5074
Mailing Address - Country:US
Mailing Address - Phone:605-328-6585
Mailing Address - Fax:605-328-6512
Practice Address - Street 1:600 N SYCAMORE AVE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57110-5745
Practice Address - Country:US
Practice Address - Phone:605-328-2999
Practice Address - Fax:605-328-2957
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2013-03-08
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Provider Licenses
StateLicense IDTaxonomies
IA3747207Q00000X
SD7085207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine