Individual
ROSE JENNA HENKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNIM
Contact information
Practice address
1355 WYNNSTONE DR, ANN ARBOR, MI 48105-2894
(734) 355-4671
Mailing address
1355 WYNNSTONE DR, ANN ARBOR, MI 48105-2894
(734) 355-4671
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
5113
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5113
CNIM
—
Enumeration date
10/25/2022
Last updated
10/25/2022
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