Individual
DR. JENNIFER MARIE HWANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1711 S STEPHENSON AVE, STE 115, IRON MOUNTAIN, MI 49801-3639
(906) 776-5970
(906) 228-0215
Mailing address
1721 S STEPHENSON AVE, IRON MOUNTAIN, MI 49801-3637
(906) 774-1313
(906) 776-5639
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
295621
NY
207R00000X
Internal Medicine Physician
Primary
5101018418
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0053917
MEDICAL
CO
01
—
5101018418
LICENSE
MI
Enumeration date
08/29/2009
Last updated
10/17/2018
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