| Merwin Lee Jenkins D.O. P.C. | |
|
31410 Joy Rd Livonia MI 48150-3836 | |
| (734) 425-6950 | |
| Not Available |
| Full Name | Merwin Lee Jenkins D.O. P.C. |
|---|---|
| Speciality | Family Medicine |
| Location | 31410 Joy Rd, Livonia, Michigan |
| Authorized Official Name and Position | Merwin Lee Jenkins (PRESIDENT) |
| Authorized Official Contact | 7344256950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Merwin Lee Jenkins D.O. P.C. 31410 Joy Rd Livonia MI 48150-3836 Ph: (734) 425-6950 | Merwin Lee Jenkins D.O. P.C. 31410 Joy Rd Livonia MI 48150-3836 Ph: (734) 425-6950 |
| NPI Number | 1184884074 |
|---|---|
| Provider Enumeration Date | 06/13/2008 |
| Last Update Date | 09/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184884074 | NPI | - | NPPES |
| 4471325 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101007097 (Michigan) | Primary |
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