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JESSICA ELIZABETH EZELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
15125 22 MILE RD, SHELBY TWP, MI 48315-4406
(586) 532-0599
Mailing address
46649 GREENBRIAR DR, CHESTERFIELD, MI 48051-2872
(586) 292-0181

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5101028683
MI

Other

Enumeration date
04/18/2022
Last updated
06/11/2025
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