Individual
MRS. JENNIFER LYNN GURZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
1940 S TELEGRAPH RD, BLOOMFIELD HILLS, MI 48302-0245
(248) 409-0490
(248) 409-0491
Mailing address
625 ENTERPRISE DR, OAK BROOK, IL 60523-8813
(630) 575-1980
(630) 928-5080
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
5501005417
MI
225100000X
Physical Therapist
Primary
5501005417
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501005417
STATE LICENSE #
MI
Enumeration date
04/12/2006
Last updated
07/21/2022
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