Organization
JENNIFER VINCH MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER VINCH M.D. (OWNER)
(586) 799-4350
Entity
Organization
Contact information
Practice address
43200 DEQUINDRE RD, STE 104, STERLING HTS, MI 48314-1707
(586) 799-4350
(586) 799-4279
Mailing address
55495 PARKVIEW DR, SHELBY TWP, MI 48316-1031
(810) 794-7750
(810) 794-7751
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301094469
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301094469
LICENSE NUMBER
MI
Enumeration date
05/21/2014
Last updated
05/21/2014
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