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Individual

DR. KAREN ANN JACOBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D.

Contact information

Practice address
5344 PLAINFIELD AVE NE, SUITE 4, GRAND RAPIDS, MI 49525-1009
(616) 365-1979
(616) 365-1964
Mailing address
5344 PLAINFIELD AVE NE, SUITE 4, GRAND RAPIDS, MI 49525-1009
(616) 365-1979
(616) 365-1964

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000001
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
640 D1 2604
BLUE CROSS BLUE SHIELD
MI
05
804687934
MI
05
903499018
MI
Enumeration date
12/18/2006
Last updated
03/15/2012
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