Jessica Kwan, D.P.M

NPI 1417245200 · on the registry since 2011

Practice

Address: 22101 Moross Rd
Suite 335
Detroit, MI 48236
Phone: (313) 343-6393
Fax: (313) 343-6394
Organisation at this address: Largo Glm Pllc
Berg Vascular Pc
St John Hospital
St. John Hospital
St. John Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 504

Registry record

Primary taxonomy: 213ES0103X
213ES0103X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2011-07-14

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