Individual
DR. JENNIFER LYNN DEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5000 HAKES DR, NORTON SHORES, MI 49441-5574
(231) 798-4445
(231) 798-4462
Mailing address
5000 HAKES DR, NORTON SHORES, MI 49441-5574
(231) 798-4445
(231) 798-4462
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01056316A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000063937
BCBS
IN
01
—
000000685042
BCBS
IN
05
—
200386980
—
IN
01
—
4301099906
MI LICENSE
MI
Enumeration date
10/10/2005
Last updated
02/11/2021
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