Individual
JENNI L POLFUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2845 US 2 AND 41, BARK RIVER, MI 49807
(906) 466-2000
Mailing address
2845 US 2 AND 41, BARK RIVER, MI 49807
(906) 466-2000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704292027
MI
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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