NPI 1063917243

Matthew Krueger Jenson, MD

Practitioner Family Medicine Physician Green Bay, WI

Practice location

Address: 124 Siegler St, Green Bay, WI 54303-2636
Phone: (920) 494-9661
Fax: (920) 496-3792

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 72686 (WI)

Other Family Medicine providers in Wisconsin →

Registry record

NPI: 1063917243
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Mar 2018
Record last updated: 10 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.