John L Jenkins M.D.

NPI 1003818212 - Specialist - 174400000X

NPI Details
NPI 1003818212
Gender Male
Enumeration Date 06/01/2005
Last Updated 10/06/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
621 MEMORIAL DR
STE 502
SOUTH BEND IN, 46601-1075, US
Phone (574) 234-9001
Fax (574) 287-5367
Business Location
621 MEMORIAL DR
STE 502
SOUTH BEND IN, 46601-1075, US
Phone (574) 234-9001
Fax (574) 287-5367
Toxanomy
Taxonomy Code 174400000X
License State Indiana
License Number 01025732
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According to our database, Dr. John L Jenkins M.D. NPI is 1003818212, taxonomy code is 174400000X and license number is 01025732, license state is located at Indiana. John L Jenkins M.D. physically located at 621 Memorial Dr, South Bend IN, 46601-1075. NPI Number John L Jenkins M.D. has the Individual type.

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1003818212 NPI number is provided on an as is basis without warranty of any kind. 1003818212 is maintained by the National Plan & Provider Enumeration System. The contents of John L Jenkins M.D. are for informational purposes only.