Individual
JENNIFER SUE ENGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3290 WEST BIG BEAVER, SUITE 410, TROY, MI 48084
(248) 816-6300
(248) 816-6335
Mailing address
3290 W BIG BEAVER, SUITE 410, TROY, MI 48084
(248) 816-6300
(248) 816-6335
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
4301056164
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0633076
BLUE CROSS BLUE SHIELD
MI
Enumeration date
08/25/2006
Last updated
11/24/2009
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