# THOMAS E. JACOB, D.P.M., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659369031
- **Authorized official:** MRS. NANNETTE M. LINGEMAN (OFFICE MANAGER)
- **Authorized official phone:** (586) 779-1160

## Contact information

- **Practice address:** 23700 GRATIOT AVE, EASTPOINTE, MI 48021-1647
- **Practice address phone:** (586) 779-1160
- **Practice address fax:** (586) 779-1163
- **Mailing address:** 23700 GRATIOT AVE, EASTPOINTE, MI 48021-1647
- **Mailing address phone:** (586) 779-1160
- **Mailing address fax:** (586) 779-1163

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 59010000499 | MI | Yes |

## Other

- **Enumeration date:** 10/11/2005
- **Last updated:** 08/22/2020