Individual
JENNIFER LYNN KRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. PA-C
Contact information
Practice address
3601 E 13 MILE RD, ROYAL OAK, MI 48073-6769
(248) 898-5000
Mailing address
915 N ALEXANDER AVE, ROYAL OAK, MI 48067-3607
(313) 318-9590
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5601006682
MI
Other
Enumeration date
06/10/2013
Last updated
10/22/2020
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