Individual
DR. JENNIFER R ELY
Active
Individual
DR. JENNIFER R ELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
5101014115
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467422618
—
MI
05
—
4792321
—
MI
Enumeration date
01/23/2006
Last updated
07/12/2016
Update your record
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