Individual provider · Type 1 NPI

Kristan Gail Jenkins-Mosure, MD

Diagnostic Radiology Physician · Detroit, MI

NPI number 1013145853 Active

Practice location

2799 W Grand Blvd
Detroit, MI 48202-2608

Mailing address

2213 Cherry St, Attn: Mrg Associates, Llc - Radiology Dept.
Toledo, OH 43608-2603

Other practice locations

  • 2213 Cherry St, Attn: Mrg Associates, Llc - Radiology Dept., Toledo, OH 43608-2603 · (419) 251-2740

Specialties and licenses

TaxonomyCodeLicense
Body Imaging Physician 2085B0100X4301088572 (MI)
Body Imaging Physician 2085B0100X35098978 (OH)
Diagnostic Radiology Physician 2085R0202X35098978 (OH)
Diagnostic Radiology Physician Primary 2085R0202X4301088572 (MI)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1013145853

Kristan Gail Jenkins-Mosure, MD's National Provider Identifier is 1013145853, issued on Jul 1, 2009. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Detroit, MI. The record was last updated on Apr 19, 2022.