Most Relevant Information
Provider Data
| NPI Number: | 1003265893 |
| Provider Name: | JENNIFER ROSE BLASE MD, PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 208000000X |
| Specialty: | Pediatrics |
| License Number: | 4301109886 |
Most Important Dates
| Enumeration Date: | 06/13/2016 |
| Last Updated: | 11/30/2023 |
Provider Practice Location
1500 E MEDICAL CENTER DR
ANN ARBOR
MI
481095000
Practice Location Phone/Fax
| Phone: | 7349364000 |
| Fax: |
Provider Mailing Location
3621 S STATE ST
ANN ARBOR
MI
481081633
Provider Mailing Phone/Fax
| Phone: | 7346475299 |
| Fax: |
Suggested EMR
Pediatrics EMR