| Dr. Revivajennz Med Spa, Pllc | |
|
418 S Wagner Rd Ann Arbor MI 48103-1944 | |
| (734) 355-3566 | |
| Not Available |
| Full Name | Dr. Revivajennz Med Spa, Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 418 S Wagner Rd, Ann Arbor, Michigan |
| Authorized Official Name and Position | Jennifer Thomas-goering (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7343553566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Revivajennz Med Spa, Pllc 4870 Birkdale Dr Ann Arbor MI 48103-9743 Ph: (734) 355-3566 | Dr. Revivajennz Med Spa, Pllc 418 S Wagner Rd Ann Arbor MI 48103-1944 Ph: (734) 355-3566 |
| NPI Number | 1083310312 |
|---|---|
| Provider Enumeration Date | 02/07/2023 |
| Last Update Date | 02/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083310312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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Regents Of The University Of Michigan Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000 | |
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