Organization
SUPERIOR PEDIATRICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY EVAN JACOBS MD (OWNER)
(906) 934-2600
Entity
Organization
Contact information
Practice address
324 5TH ST, CALUMET, MI 49913-1502
(906) 934-2600
Mailing address
324 5TH ST, CALUMET, MI 49913-1502
(906) 934-2600
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301079067
MI
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
Update your record
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