Individual
JEFFREY S WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 EAST MEDICAL CENTER DR, 2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY, ANN ARBOR, MI 48109-5054
(800) 862-7284
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207ZI0100X
Immunopathology Physician
Primary
4301051563
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
4301051563
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871252
—
MI
Enumeration date
10/19/2006
Last updated
05/07/2019
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