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Individual

JENNIFER ANN MACCAGNANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 788-4800
Mailing address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 788-4800

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101020366
MI

Other

Enumeration date
06/23/2011
Last updated
07/02/2013
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