Organization
STACY JENKINS, MD, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACY ANN JENKINS M.D. (OWNER)
(248) 618-9400
Entity
Organization
Contact information
Practice address
44555 WOODWARD AVE., SUITE 202, PONTIAC, MI 48341
(248) 499-9390
(248) 499-9385
Mailing address
44555 WOODWARD AVE., SUITE 202, PONTIAC, MI 48341
(248) 499-9390
(248) 499-9385
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
MI
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4493396
—
MI
Enumeration date
12/11/2007
Last updated
03/07/2023
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