Individual
JESSICA LYNNE SHARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
130 MEDICAL CENTER DR, CARLETON, MI 48117-9461
(734) 654-2169
(734) 654-2535
Mailing address
8765 LEWIS AVE, TEMPERANCE, MI 48182-9583
(734) 847-3802
(734) 847-3418
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101019037
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0855006452
BCBS IND
MI
Enumeration date
07/23/2007
Last updated
12/26/2013
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