Individual
DR. JODI L HAMBLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4069 LAKE DR SE, SUITE 315, GRAND RAPIDS, MI 49546-8816
(616) 267-9310
(616) 267-9320
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301056610
MI
Other
Enumeration date
11/03/2005
Last updated
07/25/2016
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