JENNIFER GIBNEY MICHLITSCH M.D. NPI 1528117256

NPI Information

Jennifer Gibney Michlitsch, M.D. is a pediatric hematology-oncology pediatrics in Oakland, CA with 23 years of experience. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. Jennifer Gibney Michlitsch, M.D. NPI is 1528117256. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduation Year:2001

The provider's business location address is:

747 52ND ST
OAKLAND, CA
ZIP 94609-809
Phone: (510) 428-3885

The NPI 1528117256 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/10/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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