Individual
JENNIFER UITVLUGT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4660 S HAGADORN RD STE 600, EAST LANSING, MI 48823-5383
(517) 267-2460
(517) 267-2462
Mailing address
804 SERVICE RD STE A109B, EAST LANSING, MI 48824-7015
(517) 267-2460
(517) 267-2462
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
5101019957
MI
2086S0127X
Trauma Surgery Physician
Primary
5101019957
MI
Other
Enumeration date
06/27/2012
Last updated
09/23/2019
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