Individual
JACOB CLARKE LENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 OAKLAND DR, KALAMAZOO, MI 49008-1282
(269) 337-6600
Mailing address
397 TIMBER RIDGE DR, KALAMAZOO, MI 49006-8302
(269) 370-6871
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301506428
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2019
Last updated
06/20/2023
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