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NPI Code Detail

MEDICARE: JENNA JEAN STEIN

MEDICARE: JENNA JEAN STEIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor2301401688MI

General Provider Information

NPI Number : 1790636504
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNA JEAN STEIN
Provider Business Mailing Address
First Line : 41638 W VILLAGE GREEN BLVD APT 103
Second Line :
City : CANTON
State : MI
Zip : 48187-3873
Country : US
Telephone Number : 906-370-5138
Fax Number :
Provider Business Practice Location Address
First Line : 27850 GRATIOT AVE
Second Line :
City : ROSEVILLE
State : MI
Zip : 48066-4803
Country : US
Telephone Number : 586-772-5876
Fax Number : 586-772-1122
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2026
Last Update Date : 02/06/2026

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Directions to “ JENNA JEAN STEIN ” Practice Location

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