Individual
JENNIFER LYNN VIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6225 PRAIRIE STREET, NORTH SHORES, MI 49444
(231) 798-9500
(231) 798-9533
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301084064
MI
Other
Enumeration date
03/29/2007
Last updated
03/28/2024
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