Individual
DR. JENNIFER DOUBLESTEIN SANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1445 SHELDON RD STE 201, GRAND HAVEN, MI 49417-2479
(616) 847-5489
(616) 847-5479
Mailing address
1445 SHELDON RD STE 201, GRAND HAVEN, MI 49417-2479
(616) 847-5489
(616) 847-5479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0102201734
VA
207R00000X
Internal Medicine Physician
Primary
5101015469
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080G011310
BCBSM GRP PIN
MI
01
—
1157010844
BCBSM IND PIN
MI
Enumeration date
02/02/2006
Last updated
05/15/2025
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