Individual
DR. JESSICA L KWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
22101 MOROSS RD, SUITE 335, DETROIT, MI 48236-2148
(313) 343-6393
(313) 343-6394
Mailing address
22101 MOROSS RD, SUITE 335, DETROIT, MI 48236-2148
(313) 343-6393
(313) 343-6394
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901002373
MI
Other
Enumeration date
07/14/2011
Last updated
07/14/2011
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