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Organization
THOMAS E. JACOB, D.P.M., P.C.
Active
Organization
THOMAS E. JACOB, D.P.M., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANNETTE M. LINGEMAN (OFFICE MANAGER)
(586) 779-1160
Entity
Organization
Contact information
Practice address
23700 GRATIOT AVE, EASTPOINTE, MI 48021-1647
(586) 779-1160
(586) 779-1163
Mailing address
23700 GRATIOT AVE, EASTPOINTE, MI 48021-1647
(586) 779-1160
(586) 779-1163
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
59010000499
MI
Other
Enumeration date
10/11/2005
Last updated
08/22/2020
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