# G SCOTT JENNING DO PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679769061
- **Authorized official:** G SCOTT JENNINGS D.O. (DOCTOR)
- **Authorized official phone:** (248) 474-5456

## Contact information

- **Practice address:** 28080 GRAND RIVER AVE, STE 208N, FARMINGTON HILLS, MI 48336-5966
- **Practice address phone:** (248) 478-7733
- **Practice address fax:** (248) 478-3533
- **Mailing address:** 28080 GRAND RIVER AVE, STE 208N, FARMINGTON HILLS, MI 48336-5966
- **Mailing address phone:** (248) 478-7733
- **Mailing address fax:** (248) 478-3533

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 5101007541 | MI | Yes |

## Other

- **Enumeration date:** 09/19/2007
- **Last updated:** 09/19/2007