Individual
JENNIFER A FOESS-HALAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 3RD ST, BELLEVILLE, MI 48111-2605
(734) 697-9065
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1863
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301089959
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H249999
BCBSM
MI
05
—
102262802
—
MI
Enumeration date
07/18/2007
Last updated
03/17/2021
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