Individual
ZACHARY JAKUBIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2520 E DUPONT RD, FORT WAYNE, IN 46825-1675
(260) 416-3000
Mailing address
1909 GARDENIA AVE APT 4, ROYAL OAK, MI 48067-2130
(586) 557-5036
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
02006550B
IN
207P00000X
Emergency Medicine Physician
Primary
5101024601
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0045751
—
OH
Enumeration date
06/14/2018
Last updated
07/17/2024
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