Individual
JENNIFER ELLENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
826 W KING ST, OWOSSO, MI 48867-2120
(989) 723-5211
Mailing address
826 W KING ST, PO BOX 456, OWOSSO, MI 48867-2120
(989) 729-4546
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704231596
MI
Other
Enumeration date
12/23/2006
Last updated
12/14/2018
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