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Jennifer Kodrik

NPI 1588730659 · on the registry since 2006 · sole proprietor

Practice

Address
1098 Ann Arbor Rd W # 200
Plymouth, MI 48170
Phone
(734) 453-5603
Fax
(734) 453-5619

Registry record

Primary taxonomy
103T00000X
103T00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-09-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan