Individual
JENNIFER MARIE MOHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 S GARFIELD AVE, TRAVERSE CITY, MI 49686-2404
(231) 346-5216
Mailing address
1000 S GARFIELD AVE, TRAVERSE CITY, MI 49686-2404
(231) 346-5216
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211
—
MI
Enumeration date
04/05/2022
Last updated
04/05/2022
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