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Kristan Gail Jenkins-mosure, MD
Diagnostic Radiology Physician in Detroit, Michigan
NPI 1013145853

Kristan Gail Jenkins-mosure is a Diagnostic Radiology Physician based in Toledo, MI and is specialized in Diagnostic Radiology. Kristan Gail Jenkins-mosure practices in Detroit, MI and has the professional credentials of MD. The NPI Number for Kristan Gail Jenkins-mosure is 1013145853 and holds a License No. 4301088572 (Michigan).

The current practice location address for Kristan Gail Jenkins-mosure is 2799 W Grand Blvd, Detroit, MI and can be reached out via phone at 800-653-6568.

Location: 2799 W Grand Blvd, Detroit, MI, 43608-2603
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Provider Profile Details
NPI Number
1013145853
Provider Name
Kristan Gail Jenkins-mosure
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2799 W Grand Blvd, Detroit, MI, 43608-2603
Phone Number
800-653-6568
Fax Number
Provider Enumeration Date
07/01/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
35098978 01 OH OH MEDICAL LICENSE
0067438 05 OH
institution
Provider Business Practice Location Address Details
Address
2799 W Grand Blvd
City
State
Zip
48202-2608
Phone Number
800-653-6568
Fax Number
person
Provider Business Mailing Address Details
Address
2799 W Grand Blvd
City
State
Zip
48202-2608
Phone Number
800-653-6568
Fax Number
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Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Body Imaging
Taxonomy
License No.
35098978 (Ohio)
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
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Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
4301088572 (Michigan)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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