Organization
G SCOTT JENNINGS DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE SCOTT JENNINGS (PRESIDENT)
(248) 478-7733
Entity
Organization
Contact information
Practice address
28080 GRAND RIVER, 208N, FARMINGTON HILLS, MI 48336
(248) 478-7733
(248) 478-3533
Mailing address
28080 GRAND RIVER, SUITE 208, FARMINGTON HILLS, MI 48336
(248) 478-7733
(248) 478-3533
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
GJ007541
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183604811
—
MI
01
—
3356314144
BCBS
MI
Enumeration date
02/21/2008
Last updated
12/23/2009
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