Individual
JESSE TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
36475 FIVE MILE RD, LIVONIA, MI 48154-1971
(734) 655-4800
(734) 655-8430
Mailing address
929 N ST FRANCIS ST, WICHITA, KS 67214-3821
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0542187
KS
207P00000X
Emergency Medicine Physician
R6924
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922494905
—
KS
Enumeration date
04/07/2015
Last updated
12/19/2022
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