Individual
JENNIFER HARMON BATTISTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7115 KALAMAZOO AVE SE, SUITE A, CALEDONIA, MI 49316
(616) 583-0958
(616) 583-0961
Mailing address
7115 KALAMAZOO AVE SE, SUITE A, CALEDONIA, MI 49316
(616) 583-0958
(616) 583-0961
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301065950
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4283693
—
MI
05
—
4289070
—
MI
05
—
4289089
—
MI
05
—
4320803
—
MI
05
—
4877124
—
MI
Enumeration date
05/18/2006
Last updated
07/14/2011
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