| Jennifer Vinch Md Pllc | |
|
43200 Dequindre Rd Ste 104 Sterling Hts MI 48314-1707 | |
| (586) 799-4350 | |
| (586) 799-4279 |
| Full Name | Jennifer Vinch Md Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 43200 Dequindre Rd, Sterling Hts, Michigan |
| Authorized Official Name and Position | Jennifer Vinch (OWNER) |
| Authorized Official Contact | 5867994350 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Vinch Md Pllc 55495 Parkview Dr Shelby Twp MI 48316-1031 Ph: (810) 794-7750 | Jennifer Vinch Md Pllc 43200 Dequindre Rd Ste 104 Sterling Hts MI 48314-1707 Ph: (586) 799-4350 |
| NPI Number | 1710399001 |
|---|---|
| Provider Enumeration Date | 05/21/2014 |
| Last Update Date | 05/21/2014 |
| Medicare PECOS PAC ID | 0042434664 |
|---|---|
| Medicare Enrollment ID | O20140620001104 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710399001 | NPI | - | NPPES |
| 4301094469 | Other | MI | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 4301094469 (Michigan) | Primary |
| Provider Name | Jennifer A Vinch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275769762 PECOS PAC ID: 0547410102 Enrollment ID: I20121017000670 |
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