Individual
JENNIFER LYNN BEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101018336
MI
207R00000X
Internal Medicine Physician
L1588240
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
5101018336
MI
Other
Enumeration date
08/31/2009
Last updated
07/21/2022
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