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Individual

JENNIFER BRESCOLL MANCUSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1500 EAST MEDICAL CENTER DR, 1ST FLOOR TAUBMAN CENTER RECP 'B', ANN ARBOR, MI 48109-5314
(734) 936-4054
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
4301105772
MI
207NP0225X
Pediatric Dermatology Physician
Primary
4301105772
MI

Other

Enumeration date
04/10/2014
Last updated
09/09/2025
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