All Medicaid billing entities listing JENSEN, BRIAN (OWNER/PRESIDENT) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Wisconsin | 1 | $1K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | LAKESHORE APOTHACARE INC. | TWO RIVERS, WI | Community/Retail Pharmacy | $1K |