Individual
DR. JENNIFER LEA MULKERIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(800) 653-6568
Mailing address
2799 W GRAND BLVD STE A-3, DETROIT, MI 48202-2608
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301500997
MI
2085R0202X
Diagnostic Radiology Physician
66271
CT
Other
Enumeration date
07/14/2012
Last updated
02/06/2023
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