Individual
DR. JILL ANNE JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
335 E HOUGHTON AVE, WEST BRANCH, MI 48661-1127
(989) 343-3790
Mailing address
4780 TEE LAKE RD, WEST BRANCH, MI 48661-9660
(989) 343-6595
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301085965
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043429095
—
MI
Enumeration date
05/22/2007
Last updated
04/30/2018
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