Individual
DR. JACOB THOMAS JOHENGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
870 E ARKONA RD STE 100, MILAN, MI 48160-9770
(734) 439-2429
(734) 439-0200
Mailing address
24 FRANK LLOYD WRIGHT DR # J2000, ANN ARBOR, MI 48105-9484
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5151014543
MI
Other
Enumeration date
06/01/2020
Last updated
06/23/2023
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