Doctor Name: | KRISTAN GAIL JENKINS-MOSURE |
NPI Number: | 1013145853 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 4301088572 |
Business Practice Address: | 2213 Cherry St Attn: Mrg Associates, Llc - Radiology Dept. Toledo, OH - 436082603 |
Business Phone Number: | 4192512740 |
Business Fax Number: | |
Mailing Address: | 2213 Cherry St, Attn: Mrg Associates, Llc - Radiology Dept. TOLEDO |
State: | OH |
Postal Code: | 436082603 |
Phone Number: | 4192512740 |
Fax Number: | |
NPI Enumeration Date: | 07/01/2009 |
NPI Last Update Date: | 02/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 4301088572 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |