Individual
DR. MARK EDWARD JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30575 WOODWARD AVE STE 100, ROYAL OAK, MI 48073-0986
(248) 280-8550
(844) 266-0093
Mailing address
26211 CENTRAL PARK BLVD STE 201, SOUTHFIELD, MI 48076-4158
(833) 667-3627
(833) 972-5509
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
57.014767
OH
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
4301105117
MI
Other
Enumeration date
09/23/2008
Last updated
04/27/2026
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