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Individual

JEREMY LOCKENOUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(313) 912-1094
Mailing address
6828 OSAGE AVE, ALLEN PARK, MI 48101-2374
(313) 912-1094

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
4704376010
MI

Other

Enumeration date
05/10/2025
Last updated
05/10/2025
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