Individual
DR. JEFFREY MITCHELL JENTZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 EAST MEDICAL CENTER DR, 2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY, ANN ARBOR, MI 48109-5054
(800) 862-7284
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, WI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
28157
WI
207ZF0201X
Forensic Pathology Physician
Primary
4301044373
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
4301044373
MI
Other
Enumeration date
01/29/2007
Last updated
03/21/2012
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