Individual
DR. JEFFREY A. MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
11775 TECUMSEH CLINTON RD, CLINTON, MI 49236-9541
(517) 456-7449
(517) 456-6059
Mailing address
24 FRANK LLOYD WRIGHT DR, PO BOX 0446 LOBBY J, ANN ARBOR, MI 48105-9484
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0116023323
VA
207Q00000X
Family Medicine Physician
Primary
5101021421
MI
Other
Enumeration date
06/01/2011
Last updated
08/04/2014
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