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Search › Michigan › 363A00000X

Jennica Long

NPI 1235951328 · on the registry since 2024

Practice

Address
818 W King St Ste 101
Owosso, MI 48867
Phone
(989) 725-8171
Organisation at this address
Mario Chaves Pc
Amy Blaising Wallace, D.O. Plc
Red Cedar Ear Nose Throat & Audiology P.L.L.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
40

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-10-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan