Individual
JEFFREY T JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3555 W 13 MILE RD STE N220, ROYAL OAK, MI 48073-6710
(248) 784-3667
(248) 869-3982
Mailing address
29275 NORTHWESTERN HWY STE 100, SOUTHFIELD, MI 48034-5700
(248) 784-3667
(248) 869-3982
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
4301108040
MN
Other
Enumeration date
06/05/2007
Last updated
05/23/2024
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