Individual
MRS. JACQUELINE SUSAN METZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
5500 AUTO CLUB DR, DEARBORN, MI 48126-2779
(313) 425-4700
(313) 425-4701
Mailing address
5500 AUTO CLUB DR, DEARBORN, MI 48126-2779
(313) 425-4700
(313) 425-4701
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5101021108
MI
390200000X
Student in an Organized Health Care Education/Training Program
5101021108
MI
Other
Enumeration date
06/02/2014
Last updated
03/29/2021
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