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Individual
JENNIFER C. PASSINI
Active
Individual
JENNIFER C. PASSINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
51500
WI
208M00000X
Hospitalist Physician
Primary
51500
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417961137
BCBSM - BRONSON
MI
05
—
1538105721
—
MI
Enumeration date
06/22/2006
Last updated
11/15/2017
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