M. Shane Jennings M.D.

NPI 1639316797 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1639316797
Gender Male
Enumeration Date 01/12/2009
Last Updated 05/24/2016
Entity Type Individual
Active Over 7 years ago
Practice Location
750 E ADAMS ST
SYRACUSE NY, 13210-2342, US
Phone (315) 464-4851
Fax (315) 464-4854
Business Location
750 E ADAMS ST
SYRACUSE NY, 13210-2342, US
Phone (315) 464-4851
Fax (315) 464-8690
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, M. Shane Jennings M.D. NPI is 1639316797, taxonomy code is 390200000X M. Shane Jennings M.D. physically located at 750 E Adams St, Syracuse NY, 13210-2342. NPI Number M. Shane Jennings M.D. has the Individual type.

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1639316797 NPI number is provided on an as is basis without warranty of any kind. 1639316797 is maintained by the National Plan & Provider Enumeration System. The contents of M. Shane Jennings M.D. are for informational purposes only.