SearchWisconsin207VX0201X

Eric Jenison, M.D

NPI 1669477071 · on the registry since 2005

Practice

Address
704 S Webster Ave
Suite 100
Green Bay, WI 54301
Phone
(920) 433-3430
Fax
(920) 432-6313
Organisation at this address
Daniel G Koster Md Sc
New Moms Of Green Bay Sc
New Dermatology Group Ltd
Green Bay Surgical Center
Bellin Memorial Hospital Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
50

Registry record

Primary taxonomy
207VX0201X
207VX0201X
Also registered as
207V00000X
Licence states on file
OH, WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-09-18

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 Wisconsin