Individual provider · Type 1 NPI
Jennifer Supol, DO
Specialist · Bingham Farms, MI
NPI number
1003826900
Active
Practice location
31500 Telegraph Rd, 105
Bingham Farms, MI 48025-4367
Fax (248) 540-8701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 5101014945 (MI) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1003826900
Jennifer Supol, DO's National Provider Identifier is 1003826900, issued on Aug 9, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bingham Farms, MI. The record was last updated on Jul 8, 2007.