Individual
JACOB E WALDRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4401 CAMPUS RIDGE DR STE 2200, MIDLAND, MI 48640-6127
(989) 837-9280
(989) 837-9330
Mailing address
4000 WELLNESS DR, MIDLAND, MI 48670-2000
(844) 832-1956
(989) 633-5241
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101025805
MI
208D00000X
General Practice Physician
5101025805
MI
Other
Enumeration date
06/08/2016
Last updated
04/27/2026
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