Individual
JESSICA L NEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4201 ST. ANTOINE, UHC-9C, DETROIT, MI 48201-2153
(313) 745-5437
Mailing address
3439 WOODWARD AVE APT 243, DETROIT, MI 48201-2793
(517) 648-6444
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5101028041
MI
Other
Enumeration date
04/19/2021
Last updated
05/29/2024
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