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Individual

HOLLY JENNIFER JASKIERNY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1620 GENESYS PKWY, GRAND BLANC, MI 48439-2560
(810) 606-7190
(810) 606-7186
Mailing address
1620 GENESYS PKWY, GRAND BLANC, MI 48439-2560
(810) 606-7190
(810) 606-7186

Taxonomy

Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
5101015227
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01003097
HEALTH PLUS OF MI
MI
01
17635
MCARE
MI
01
382626196
PPOM
MI
01
38895
HEALTH PLAN OF MI
MI
05
4928770
MI
01
7049860
AETNA
MI
01
BCBS
160B511630
MI
01
BLUECARE NETWORK
160B511630
MI
01
I60137
HEALTH ALLIANCE PLAN
MI
Enumeration date
06/15/2006
Last updated
05/12/2021
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