Whalio Doctors

NPI 1013145853

Kristan Gail Jenkins-Mosure, MD

Practitioner Diagnostic Radiology Physician Detroit, MI

Practice location

Address
2799 W Grand Blvd, Detroit, MI 48202-2608
Phone
(800) 653-6568
Mailing address
2213 Cherry St Attn: Mrg Associates, LLC - Radiology Dept., Toledo, OH 43608-2603

Registered specialties (4)

Diagnostic Radiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 4301088572 (MI)
Body Imaging Physician
Allopathic & Osteopathic Physicians Taxonomy 2085B0100X Licence 4301088572 (MI)
Body Imaging Physician
Allopathic & Osteopathic Physicians Taxonomy 2085B0100X Licence 35098978 (OH)
Diagnostic Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 35098978 (OH)

Registry record

NPI
1013145853
Entity type
Individual
Sex (as registered)
Female
NPI issued
1 Jul 2009
Record last updated
19 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.