Individual
DR. JENNIFER A SHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC CHIROPRACTOR
Contact information
Practice address
20415 MACK AVE, GROSSE PTE WDS, MI 48236
(313) 881-7677
(313) 881-0576
Mailing address
20415 MACK AVE, GROSSE PTE WDS, MI 48236
(313) 881-7677
(313) 881-0576
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
JS008373
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950H227070
BLUE CROSS
MI
Enumeration date
08/17/2006
Last updated
05/15/2008
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