Organization
MICHAEL J. JACOBS, M. D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J. JACOBS MD (PRESIDENT)
(248) 662-4333
Entity
Organization
Contact information
Practice address
26850 PROVIDENCE PKWY STE 504, NOVI, MI 48374-1267
(248) 662-4333
Mailing address
26850 PROVIDENCE PKWY STE 502, NOVI, MI 48374-1267
(246) 662-4333
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MJ068638
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104569968
—
MI
Enumeration date
02/16/2007
Last updated
06/09/2020
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