Individual
DR. JENNIFER ODREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L1828783
MI
207RN0300X
Nephrology Physician
Primary
5101018974
MI
Other
Enumeration date
06/23/2011
Last updated
10/27/2015
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