Individual
JESSICA LYDEN HOFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8001 CHALLIS RD, BRIGHTON, MI 48116-7446
(734) 998-2020
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301506735
MI
208000000X
Pediatrics Physician
4301506735
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2018
Last updated
12/21/2022
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