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Individual

DR. JACALYN MEREDITH BISHOP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
25500 MEADOWBROOK RD, SUITE 130, NOVI, MI 48375-1878
(248) 347-3344
(248) 305-6845
Mailing address
25500 MEADOWBROOK RD, SUITE 130, NOVI, MI 48375-1878
(248) 347-3344
(248) 305-6845

Taxonomy

Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
4301077893
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
519615310
MI
Enumeration date
01/03/2007
Last updated
01/17/2017
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