Individual
JENNIFER RITA WALSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44201 DEQUINDRE RD STE EC, TROY, MI 48085-1117
(248) 964-5111
(248) 964-5068
Mailing address
750 STEPHENSON HWY, WILLIAM BEAUMONT HOSPITAL, PAYOR CONTRACT SERVICES, TROY, MI 48083-1103
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004997
MI
Other
Enumeration date
05/07/2010
Last updated
07/21/2022
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