Individual
GEORGE SCOTT JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
28080 GRAND RIVER AVE, 208 N, FARMINGTON HILLS, MI 48336-5966
(248) 478-7733
(248) 478-3533
Mailing address
28080 GRAND RIVER AVE, 208 N, FARMINGTON HILLS, MI 48336-5966
(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
BCBC OF MI
MI
Enumeration date
09/29/2006
Last updated
07/16/2013
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