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Individual
JACOB ANDREW MACK
Active
Individual
JACOB ANDREW MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301502187
MI
208M00000X
Hospitalist Physician
4301502187
MI
Other
Enumeration date
06/08/2017
Last updated
08/07/2025
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