Individual
JENNIFER ANN WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
28825 RYAN RD, WARREN, MI 48092-4128
(586) 573-0470
(586) 573-0648
Mailing address
155 OAKLANE DR, ROCHESTER HILLS, MI 48306-3425
(248) 608-0493
Taxonomy
Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
4901003737
MI
Other
Enumeration date
12/18/2006
Last updated
10/21/2020
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