Organization
LOUIS JACOBS, D.O., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS ISRAEL JACOBS D.O. (PHYSICIAN)
(734) 421-0044
Entity
Organization
Contact information
Practice address
6255 INKSTER RD, SUITE 206, GARDEN CITY, MI 48135-2577
(734) 421-0044
(734) 458-3364
Mailing address
6245 INKSTER RD, GARDEN CITY, MI 48135-4001
(734) 421-0044
(734) 458-3364
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
LJ006797
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1367083
—
MI
01
—
5821167
BCBSM
MI
Enumeration date
04/09/2008
Last updated
04/09/2008
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