Organization
G SCOTT JENNING DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
G SCOTT JENNINGS D.O. (DOCTOR)
(248) 474-5456
Entity
Organization
Contact information
Practice address
28080 GRAND RIVER AVE, STE 208N, FARMINGTON HILLS, MI 48336-5966
(248) 478-7733
(248) 478-3533
Mailing address
28080 GRAND RIVER AVE, STE 208N, FARMINGTON HILLS, MI 48336-5966
(248) 478-7733
(248) 478-3533
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
5101007541
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1836048
—
MI
Enumeration date
09/19/2007
Last updated
09/19/2007
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