Individual
DR. JENNIFER LYNN PETRONELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
9640 COMMERCE RD, COMMERCE TOWNSHIP, MI 48382-4166
(248) 360-3888
Mailing address
9640 COMMERCE RD STE 102, COMMERCE TWP, MI 48382-4167
(248) 360-3888
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901002333
MI
Other
Enumeration date
07/05/2009
Last updated
06/17/2013
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