Individual
DR. JENNIFER ELLEN DOBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5333 MCAULEY DR, SUITE R2009, YPSILANTI, MI 48197-1014
(734) 712-0050
(734) 712-0055
Mailing address
2862 LESLIE PARK CIR, ANN ARBOR, MI 48105-9254
(734) 717-1412
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
JD057676
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
250012974
MEDICARE RAILROAD
MI
01
—
250H110020
BCBS OF MICHIGAN
MI
05
—
4387348
—
MI
Enumeration date
10/31/2005
Last updated
02/23/2021
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