Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0106X | Orthopaedic Hand Surgeon | 4301079662 | MI |
Y | 208200000X | Surgeon | 4301079662 | MI |
Y | 208600000X | Surgeon | 4301079662 | MI |
N | 208200000X | Surgeon | 4301079662 | MI |
N | 208600000X | Surgeon | 4301079662 | MI |
NPI | 1194845834 |
---|---|
Provider Name | Jennifer Filip Waljee |
First Address | Ann Arbor, MI 48108-1633 |
Second Address | Ann Arbor, MI 48105-9484 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2007 |
Last Update Date | 06/06/2019 |