Individual
DR. JENNIFER MICHELLE WOLLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3955 PATIENT CARE DR, LANSING, MI 48911-4299
(517) 374-7600
(885) 480-9150
Mailing address
3955 PATIENT CARE DR, LANSING, MI 48911-4299
(517) 374-7600
(885) 480-9150
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101022728
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/01/2016
Last updated
03/24/2025
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