Individual
SANDRA LYNN JABLONSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 E MEDICAL CENTER DR, 1ST FLOOR TAUBMAN CENTER RECP D, ANN ARBOR, MI 48109-5318
(734) 763-9650
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704188723
MI
363LP0200X
Pediatric Nurse Practitioner
Primary
4704188723
MI
Other
Enumeration date
06/11/2007
Last updated
03/02/2011
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