Individual
DR. JENNIFER A LEINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
419 W STATE ST, MANCELONA, MI 49659
(231) 587-9181
(231) 587-0923
Mailing address
419 W STATE ST, MANCELONA, MI 49659-9651
(231) 587-9181
(231) 587-0923
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301078074
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4748898
—
MI
Enumeration date
12/02/2005
Last updated
01/09/2026
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