Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jennifer Manko Prohow, DO

Individual provider Family Medicine Physician · NPI 1750418059

Dr. Jennifer Manko Prohow, DO is a Family Practice in Lake Orion, Michigan. Qualified in 2003, 23 years ago. Practices with Orion Family Physicians PC, an 11-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
23
Licensed in
MI
In the registry since
2007
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1455 S Lapeer Rd Ste 100
Lake Orion, MI 48360-1467
Phone: (248) 693-3551
Fax: (248) 693-4643
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5101015830 (MI)

Record details

NPI number1750418059
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 27, 2007
Last updated in NPPESJuly 8, 2007
Mailing address3099 Brookside Dr, Waterford, MI 48328-2595

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Orion Family Physicians Pc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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