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

Jeremy Kallenbach, MD

Individual provider Family Medicine Physician · NPI 1891775730

Jeremy Kallenbach, MD is a Family Medicine Physician in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

24681 Northwestern Hwy Ste 100
Southfield, MI 48075-2305
Phone: (248) 352-2000
Fax: (248) 324-1477
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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 4301063038 (MI)

Record details

NPI number1891775730
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 18, 2006
Last updated in NPPESSeptember 5, 2007

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