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Individual

JACK PINNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4401 N CAMPUS RIDGE DR, SUITE C2000, MIDLAND, MI 48640-6112
(989) 837-9350
(989) 837-9347
Mailing address
4401 N CAMPUS RIDGE DR, SUITE C2000, MIDLAND, MI 48640-6112
(989) 837-9350
(989) 837-9347

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
JP047507
MI
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
4301047507
MI

Other

Enumeration date
08/15/2006
Last updated
11/06/2014
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