Individual
JACK DAVID SOBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3750 WOODWARD, STE 200, DETROIT, MI 48201-2007
(313) 745-4525
(313) 993-4663
Mailing address
1560 E MAPLE RD, SUITE 400-CREDENTIALING, TROY, MI 48083-1138
(313) 745-4525
(313) 577-3223
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301049010
MI
207RI0200X
Infectious Disease Physician
Primary
4301049010
MI
Other
Enumeration date
06/08/2006
Last updated
11/10/2016
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