Individual
MS. JENNIFER LYNN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
922 LAWNDALE ST, LUDINGTON, MI 49431-1928
(231) 845-7380
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101008946
MI
Other
Enumeration date
06/09/2005
Last updated
05/23/2022
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