Individual
DR. JENNIFER R ELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1200 E MICHIGAN AVE, SUITE 415, LANSING, MI 48912-1800
(517) 484-2760
(517) 484-3050
Mailing address
804 SERVICE RD, A201, EAST LANSING, MI 48824-7015
(517) 884-2976
(517) 432-3928
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
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