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1568754232
JORDAN LEE FENNEMA
ANN ARBOR, MI
NPI
1568754232
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: MI 4301098108)
Enumeration Date
2011-05-12
Last Update Date
2020-01-27
Business Address
JORDAN LEE FENNEMA MD
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109-5000
Phone number: 734-936-4000
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Mailing Address
JORDAN LEE FENNEMA MD
3621 S STATE ST
ANN ARBOR, MI 48108-1633
Phone number: 734-647-5299
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