Organization
JENNIFER A. WINEGARDEN D.O., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER ANN WINEGARDEN D.O. (PRESIDENT)
(248) 470-7417
Entity
Organization
Contact information
Practice address
24400 INKSTER RD, SOUTHFIELD, MI 48033-2869
(248) 470-7417
Mailing address
24400 INKSTER RD, SOUTHFIELD, MI 48033-2869
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101014603
MI
Other
Enumeration date
01/18/2011
Last updated
01/18/2011
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