Individual
DR. JENNIFER MARIE BOOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
7335 WESTSHIRE DR, #102, LANSING, MI 48917-9703
(517) 622-1012
(517) 622-1033
Mailing address
804 SERVICE RD, A201, EAST LANSING, MI 48824-7015
(517) 884-2976
(517) 432-3928
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5101017649
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518129527
—
MI
Enumeration date
06/30/2008
Last updated
06/22/2016
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