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Individual

MRS. JENNIFER CAROL ROHRBORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
32605 W 12 MILE RD STE 195, FARMINGTON HILLS, MI 48334-3390
(313) 306-2023
Mailing address
26025 LAHSER RD, 2ND FLOOR, SOUTHFIELD, MI 48033-2606
(248) 663-1900
(248) 663-1901

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704196918
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4704196918
MICHIGAN LICENSE
MI
Enumeration date
10/22/2009
Last updated
07/25/2022
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