Individual
JACOB MASTROPAOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
27275 HAGGERTY RD STE 500, NOVI, MI 48377-3635
(248) 741-6909
Mailing address
PO BOX 27420, BELFAST, ME 04915-2026
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010190
MI
Other
Enumeration date
10/22/2020
Last updated
01/26/2021
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