Andrew Jensen, DABR
Individual provider Active NPI Radiological Physics Physician · White Bear Township, MN
NPI 1750189544 · NPPES record last updated Mar 6, 2025
Key facts
- NPI
- 1750189544
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Radiological Physics Physician 2085R0205X
- License
- P4235 (MN)
- Practice address
- 5203 Lakeview Ave
White Bear Township, MN 55110-7810 - Phone
- (651) 202-1566
- NPI assigned
- Mar 6, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P4235 | MN | MD | Radiological Physics Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiological Physics Physician | 2085R0205X | P4235 | MN | Yes |
Addresses
Primary practice location
5203 Lakeview Ave
White Bear Township, MN 55110-7810
Mailing address
5203 Lakeview Ave
White Bear Township, MN 55110-7810
Other providers in White Bear Township, MN
- Bodhi Education Services, LLC
- DK Nutrition LLC
- Kara Danielle Ebert
- Annette M Havlicek
- Kelsey Rose Mickschl
- Kara Sommerfeld
All providers in White Bear Township, MN · Radiological Physics Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.