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Individual

ABRAM JOHN JENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
135 S PROSPECT ST, YPSILANTI, MI 48198-7914
(734) 547-4860
Mailing address
9369 SHELTERING OAKS DR, BRIGHTON, MI 48114-6822
(810) 623-0415

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
363AM0700X
Medical Physician Assistant
5601008945
MI

Other

Enumeration date
02/26/2019
Last updated
06/11/2019
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