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Individual

DR. JENNIFER LEE GILMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O

Contact information

Practice address
4660 S HAGADORN RD, SUITE 500, EAST LANSING, MI 48823-5376
(517) 432-6144
(517) 432-6150
Mailing address
804 SERVICE RD, A201, EAST LANSING, MI 48824-7015
(517) 884-2976
(517) 432-3928

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
5101012812
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1043228653
MI
05
4219066
MI
Enumeration date
08/03/2006
Last updated
02/13/2017
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