Organization
JACALYN BISHOP, MD, PC
Active
Other names
Endocrine Kids
Organization subpart
No
Provider details
NPI number
Authorized official
JACALYN MEREDITH BISHOP M. D. (OWNER)
(248) 347-3344
Entity
Organization
Contact information
Practice address
44000 W. 12 MILE RD,, SUITE 103, NOVI, MI 48377-2646
(248) 347-3344
(348) 305-6845
Mailing address
44000 W 12 MILE ROAD, SUITE 103, NOVI, MI 48377
(248) 347-3344
(248) 305-6845
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
—
—
Other
Enumeration date
06/04/2007
Last updated
10/19/2007
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