Individual
SONY JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3990 JOHN R ST, DETROIT, MI 48201-2018
(313) 745-7342
(313) 745-8643
Mailing address
3800 WOODWARD AVE, STE 600, DETROIT, MI 48201-2061
(313) 262-1309
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301091305
MI
Other
Enumeration date
11/28/2007
Last updated
11/28/2007
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