Individual
KARA JOYCE JENCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1051 N CANTON CENTER RD, CANTON, MI 48187-5097
(734) 844-5400
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
73910
MN
390200000X
Student in an Organized Health Care Education/Training Program
4351045893
MI
Other
Enumeration date
06/20/2020
Last updated
10/25/2023
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