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Individual

DR. JODI NIKITA HASTINGS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
ASCENSION PROVIDENCE ROCHESTER HOSPITAL, 1101 W UNIVERSITY DRIVE, ROCHESTER, MI 48307
(248) 652-5000
Mailing address
7005 NW 67TH TER, PARKLAND, FL 33067-4734
(954) 821-1931

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MI

Other

Enumeration date
05/07/2024
Last updated
05/07/2024
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