JENNA MARIE RUST

WARREN, MI
NPI1326440983
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: WI  68353-21)
Additional Taxonomies207Q00000X Family Medicine
(Licence: MI  5101021472)
Enumeration Date2014-09-25
Last Update Date2017-12-28
Business Address
-- JENNA MARIE RUST D.O.
27450 SCHOENHERR RD STE 400
WARREN, MI 48088-6684
Phone number: 586-582-7550
Mailing Address
-- JENNA MARIE RUST D.O.
PO BOX 19070
GREEN BAY, WI 54307-9070
Phone number: 920-496-4700