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Individual

JENNIFER L JONES

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
200 HEMLOCK ST, TAWAS CITY, MI 48763-9237
(989) 362-0153
(989) 362-4683
Mailing address
PO BOX 779, TAWAS CITY, MI 48764-0779
(989) 362-0153
(989) 362-4683

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
5101014791
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4503788
MI
Enumeration date
12/05/2005
Last updated
07/08/2007
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