Individual
JESSICA NICOLE HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15540 BEECH DALY RD, MIDWEST URGENT CARE, REDFORD TWP, MI 48239
(313) 592-6330
Mailing address
31360 NORTHWESTERN HWY, WENDY SADOFF MD DERMATOLOGY PC, FARMINGTON HILLS, MI 48334
(248) 855-3300
(248) 855-3319
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5601005400
MI
Other
Enumeration date
10/06/2008
Last updated
11/24/2014
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