Individual
JENNIFER LYNN DATZKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1484 STRAITS DR STE 5, BAY CITY, MI 48706-8718
(989) 667-8740
(989) 667-8745
Mailing address
PO BOX 639295 DEPT 93394, CINCINNATI, OH 45263-9295
(248) 434-6169
(855) 618-6655
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704233200
MI
Other
Enumeration date
10/22/2019
Last updated
04/30/2024
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