Individual provider · Type 1 NPI

Eric L. Jenison, MD

Gynecologic Oncology Physician · Green Bay, WI

NPI number 1669477071 Active

Practice location

704 S Webster Ave, Suite 100
Green Bay, WI 54301-3528

Call (920) 433-3430 Map

Fax (920) 432-6313

Mailing address

PO Box 22487
Green Bay, WI 54305-2487

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician 207V00000X038252 (OH)
Gynecologic Oncology Physician Primary 207VX0201X59856 (WI)

Gynecologic Oncology Physician: An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

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About NPI 1669477071

Eric L. Jenison, MD's National Provider Identifier is 1669477071, issued on Jun 14, 2005. The primary taxonomy on file is Gynecologic Oncology Physician (207VX0201X), and the practice location is in Green Bay, WI. The record was last updated on Sep 18, 2014.